Organization
SKYTHERAPIST MANAGEMENT SERVICES ORGANIZATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH JONES (CEO)
(404) 579-9167
Entity
Organization
Contact information
Practice address
1169 EASTERN PKWY STE 2231, LOUISVILLE, KY 40217-1426
(404) 579-9167
Mailing address
4480 S COBB DR SE UNIT 503, SMYRNA, GA 30080-6990
(404) 579-9167
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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