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Organization
FRESH AIR THERAPY, INC.
Active
Organization
FRESH AIR THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN WALLACE ROBERTS (CEO)
(404) 403-1545
Entity
Organization
Contact information
Practice address
1801 BALDWIN FARMS DR, MARIETTA, GA 30068-1555
(404) 403-1545
Mailing address
1801 BALDWIN FARMS DR, MARIETTA, GA 30068-1555
(404) 403-1545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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