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Organization
LET'S TALK THERAPY AT ANTIOCH, LLC
Active
Organization
LET'S TALK THERAPY AT ANTIOCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDDY FAYNE (DIRECTOR OF OPERATIONS)
(615) 491-6547
Entity
Organization
Contact information
Practice address
889 BELL RD STE A, ANTIOCH, TN 37013-3101
(615) 761-9632
(615) 647-6601
Mailing address
157 CYPRESS COVE CT, GRAYSON, GA 30017-4199
(615) 491-6547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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