Organization
REBUILDING HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA MOSLEY EDD, LMFT (OWNER)
(601) 527-3533
Entity
Organization
Contact information
Practice address
2392 HARPERS WAY, DULUTH, GA 30097-5176
(601) 527-3533
(678) 903-4190
Mailing address
2392 HARPERS WAY, DULUTH, GA 30097-5176
(601) 527-3533
(678) 903-4190
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330775A
—
GA
Enumeration date
06/09/2020
Last updated
06/09/2020
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