Organization
THERAPY CENTER VALDOSTA, LLC
Active
Organization
THERAPY CENTER VALDOSTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXIS CALDWELL SWORDS (MARRIAGE AND FAMILY THERAPIST)
(229) 630-9392
Entity
Organization
Contact information
Practice address
103 WAYNE AVE, VALDOSTA, GA 31602-2582
(229) 244-9688
Mailing address
103 WAYNE AVE, VALDOSTA, GA 31602-2582
(229) 244-9688
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
003066
GA
101YP2500X
Professional Counselor
004372
GA
2084P0800X
Psychiatry Physician
Primary
057511
GA
Other
Enumeration date
08/22/2008
Last updated
08/25/2008
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