# GEORGIA THERAPY CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194378745
- **Authorized official:** KATHY CRUISE (CLINIC MANAGER)
- **Authorized official phone:** (832) 602-6545

## Contact information

- **Practice address:** 1800 PEACHTREE ST NW STE 730, ATLANTA, GA 30309-2511
- **Practice address phone:** (470) 481-6200
- **Practice address fax:** (404) 257-6297
- **Mailing address:** 1800 PEACHTREE ST NW STE 730, ATLANTA, GA 30309-2511
- **Mailing address phone:** (470) 481-6200
- **Mailing address fax:** (404) 257-6297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2019
- **Last updated:** 07/23/2019