Organization
UNFCKED THERAPY AND WELLNESS
Active
Other names
Unfcked Therapy & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
TIERA COUCH LCSW (OWNER/THERAPIST)
(678) 805-7437
Entity
Organization
Contact information
Practice address
4470 CHAMBLEE DUNWOODY RD STE 100, DUNWOODY, GA 30338-6226
(678) 805-7437
Mailing address
17271 RAUPP ST APT 6A, MELVINDALE, MI 48122-1366
(678) 805-7437
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093283434
—
GA
Enumeration date
05/17/2022
Last updated
05/17/2022
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