Organization
YOUR THERAPIST COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAY SIMS (OFFICE COORDINATOR)
(706) 903-9031
Entity
Organization
Contact information
Practice address
201 LINDA AVE, ATHENS, GA 30601-1168
(706) 903-9031
Mailing address
201 LINDA AVE, ATHENS, GA 30601-1168
(803) 397-7088
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NONE
—
Enumeration date
01/10/2021
Last updated
01/10/2021
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