Organization
CARE THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH C WAITE LMFT (CO-OWNER / THERAPIST)
(404) 579-9381
Entity
Organization
Contact information
Practice address
5041 DALLAS HWY, SUITE 402, POWDER SPRINGS, GA 30127-6458
(678) 354-5594
(678) 288-7945
Mailing address
5041 DALLAS HWY, SUITE 402, POWDER SPRINGS, GA 30127-6458
(678) 354-5594
(678) 288-7945
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC006056
GA
106H00000X
Marriage & Family Therapist
Primary
MFT001175
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12214821
CAQH
GA
Enumeration date
03/24/2011
Last updated
03/24/2011
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