Organization
YOURTHERAPISTOFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE HUGHES (OWNER)
(678) 489-7384
Entity
Organization
Contact information
Practice address
90 COMMERCE DR, FAYETTEVILLE, GA 30214-7519
(678) 489-7384
Mailing address
PO BOX 312, FAYETTEVILLE, GA 30214-0312
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
GA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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