# TALK THERAPY HOME HEALTH SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rasheeda Kimbro
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235968355
- **Authorized official:** RASHEEDA G KIMBRO PMHNP-BC (CEO)
- **Authorized official phone:** (678) 772-0408

## Contact information

- **Practice address:** 717 S JEFF DAVIS DR, FAYETTEVILLE, GA 30215-2416
- **Practice address phone:** (678) 772-0408
- **Practice address fax:** (470) 758-8853
- **Mailing address:** 717 S JEFF DAVIS DR, FAYETTEVILLE, GA 30215-2416
- **Mailing address phone:** (678) 772-0408
- **Mailing address fax:** (470) 758-8853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | NULL | Yes |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2024
- **Last updated:** 07/29/2024