Organization
DOUBLE THERAPY, LLC
Active
Other names
Double Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MICHELLE GRACE LPC (OWNER/LICENSED COUNSELOR)
(478) 955-2699
Entity
Organization
Contact information
Practice address
103 GRAY FOX XING, BONAIRE, GA 31005-3398
(478) 955-2699
Mailing address
103 GRAY FOX XING, BONAIRE, GA 31005-3398
(478) 955-2699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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