# COLLECTIVE THERAPY LLC

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

## Provider details

- **NPI number:** 1376200048
- **Authorized official:** HOLLY MCDONALD HOWARD M.ED., CCC-SLP (OWNER/SLP)
- **Authorized official phone:** (478) 595-0317

## Contact information

- **Practice address:** 121 W JACKSON ST STE 104, DUBLIN, GA 31021-6169
- **Practice address phone:** (478) 595-0317
- **Practice address fax:** (888) 249-2172
- **Mailing address:** 2035 REBIE RD, DUDLEY, GA 31022-2411
- **Mailing address phone:** (478) 595-0317
- **Mailing address fax:** (888) 249-2172

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2021
- **Last updated:** 11/17/2021