# THERAMED HEALTH, LLC

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

## Provider details

- **NPI number:** 1487056586
- **Authorized official:** NICOLE REED (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (404) 857-9575

## Contact information

- **Practice address:** 3440 BLUE SPRINGS RD NW STE 503, KENNESAW, GA 30144-1038
- **Practice address phone:** (404) 857-9575
- **Practice address fax:** (888) 857-4685
- **Mailing address:** 3440 BLUE SPRINGS RD NW STE 503, KENNESAW, GA 30144-1038
- **Mailing address phone:** (404) 857-9575
- **Mailing address fax:** (888) 857-4685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 09/19/2014
- **Last updated:** 07/15/2020