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Organization
PLAYHEALS-A THERAPEUTIC COUNSELING FACILITY
Active
Organization
PLAYHEALS-A THERAPEUTIC COUNSELING FACILITY
Active
Other names
Back2Life Counseling & Coaching Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASSITY TODD PHD, LPC, NCC, ACS (CEO)
(678) 431-0064
Entity
Organization
Contact information
Practice address
1885 WESTON LN, TUCKER, GA 30084-5503
(678) 431-0064
Mailing address
1885 WESTON LN, TUCKER, GA 30084-5503
(678) 431-0064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275286544
—
GA
Enumeration date
06/22/2024
Last updated
12/10/2024
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