# EVERLASTING TOUCH THERAPY SERVICES

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

## Provider details

- **NPI number:** 1679864433
- **Authorized official:** MRS. KIMBERLY JONELL JACKSON B.S. (EARLY INTERVENTIONIST)
- **Authorized official phone:** (504) 884-7575

## Contact information

- **Practice address:** 3079 COLONIAL WAY APT A, ATLANTA, GA 30341-5327
- **Practice address phone:** (504) 884-7575
- **Practice address fax:** (404) 228-4508
- **Mailing address:** 3079 COLONIAL WAY APT A, ATLANTA, GA 30341-5327
- **Mailing address phone:** (504) 884-7575
- **Mailing address fax:** (404) 228-4508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2011
- **Last updated:** 04/28/2011