Organization
INNOVATIVE THERAPY WORKS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENYA T JONES LCSW (PRACTICE MANAGER)
(901) 691-5954
Entity
Organization
Contact information
Practice address
2959 CHEROKEE ST NW, KENNESAW, GA 30144-6521
(901) 691-5954
Mailing address
29 TIMBERLAND TRACE CT, DALLAS, GA 30157-9669
(901) 691-5954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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