Individual
TIANA TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5415 SUGARLOAF PKWY STE 1008, #5856, LAWRENCEVILLE, GA 30043
(404) 890-0832
Mailing address
5415 SUGARLOAF PKWY STE 1008, #5856, LAWRENCEVILLE, GA 30043
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001916
GA
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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