Organization
ORGANIC THERAPY
Active
Parent organization
1
Organization subpart
Yes
Provider details
NPI number
Legal business name
1
Authorized official
MISS PATRICIA CHRISTINA THOMPSON MACC (COUNSELOR)
(678) 923-0740
Entity
Organization
Contact information
Practice address
5283 BELLS FERRY RD, STE120, ACWORTH, GA 30102-2500
(678) 923-0740
(770) 393-6439
Mailing address
3450 JONES MILL ROAD, 315, NORCROSS, GA 30092
(678) 923-0740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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