Organization
LET'S TALK THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDDY FAYNE (DIRECTOR OF OPERATIONS)
(800) 381-2195
Entity
Organization
Contact information
Practice address
4500 SATELLITE BLVD, SUITE 2290, DULUTH, GA 30096-5037
(800) 381-2195
Mailing address
4500 SATELLITE BLVD, DULUTH, GA 30096-5037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005994
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT005994
GEORGIA PROFESSIONAL LICENSING
GA
Enumeration date
03/06/2015
Last updated
03/06/2015
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