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Organization
BRAINZ THERAPY INC.
Active
Organization
BRAINZ THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HOWELL (VP OF OPERATIONS)
(770) 923-6400
Entity
Organization
Contact information
Practice address
6450 SPALDING DR STE A, PEACHTREE CORNERS, GA 30092-4650
(770) 449-9334
Mailing address
3535 PEACHTREE RD NE STE 520, ATLANTA, GA 30326-3292
(770) 923-6400
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
NULL
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QH0700X
Hearing and Speech Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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