# YOURTHERAPISTOFFICE, LLC

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

## Provider details

- **NPI number:** 1972969418
- **Authorized official:** JEMAL DOUTE LMFT (MEMBER/CLINICIAN)
- **Authorized official phone:** (678) 489-7384

## Contact information

- **Practice address:** 90 COMMERCE DR, STE B, FAYETTEVILLE, GA 30214-7519
- **Practice address phone:** (678) 489-7384
- **Practice address fax:** (866) 311-8215
- **Mailing address:** PO BOX 312, FAYETTEVILLE, GA 30214-0312
- **Mailing address phone:** (678) 489-7384
- **Mailing address fax:** (866) 311-8215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 01277 | GA | — |
| 101YM0800X | Mental Health Counselor | 001277 | GA | — |
| 106H00000X | Marriage & Family Therapist | 001277 | GA | Yes |

## Other

- **Enumeration date:** 01/14/2016
- **Last updated:** 01/14/2016