Organization
THERAPYVINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KEITH GANN DMIN,MACMHC,LPC,NCC (OWNER, CLINICAL DIRECTOR)
(770) 648-4911
Entity
Organization
Contact information
Practice address
54 SONSHINE LN, CHICKAMAUGA, GA 30707-3679
(770) 648-4911
Mailing address
PO BOX 105, CHICKAMAUGA, GA 30707-0105
(770) 648-4911
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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