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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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