Organization
SHADES OF THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE FERRILL (OWNER)
(414) 232-6785
Entity
Organization
Contact information
Practice address
300 COLONIAL CENTER PKWY STE 100N, ROSWELL, GA 30076-4892
(414) 232-6785
Mailing address
300 COLONIAL CENTER PKWY STE 100N, ROSWELL, GA 30076-4892
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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