Organization
THERAPY CULTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W TANNER LMFT (THERAPIST)
(770) 377-1563
Entity
Organization
Contact information
Practice address
5763 VILLAGE LOOP, FAIRBURN, GA 30213-4641
(770) 377-1563
Mailing address
5763 VILLAGE LOOP, FAIRBURN, GA 30213-4641
(770) 377-1563
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
02/24/2022
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