Organization
ANGELA RONAY RICHARDSON
Active
Other names
ReConnect Therapeutic Associates, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA R RICHARDSON LPC (CEO/THERAPIST)
(678) 424-8650
Entity
Organization
Contact information
Practice address
1264 CONCORD RD SE, SUITE 106, SMYRNA, GA 30080-5302
(678) 424-8650
(678) 424-8652
Mailing address
1264 CONCORD RD SE, SUITE 106, SMYRNA, GA 30080-5302
(678) 424-8650
(678) 424-8652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC007446
GA
101YP2500X
Professional Counselor
Primary
LPC007446
GA
102L00000X
Psychoanalyst
LPC007446
GA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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