# MY THERAPY PLACE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** my therapy place, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558827568
- **Authorized official:** MRS. CHRISTIE M MARTIN MSW, LCSW (OUTPATIENT THERAPIST)
- **Authorized official phone:** (919) 833-0397

## Contact information

- **Practice address:** 1400 BATTLEGROUND AVE STE 209E, GREENSBORO, NC 27408-8028
- **Practice address phone:** (919) 833-0397
- **Mailing address:** 1400 BATTLEGROUND AVE, SUITE 209-E, GREENSBORO, NC 27408-8028
- **Mailing address phone:** (919) 833-0397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2019
- **Last updated:** 08/11/2023