Organization
RECONNECT THERAPEUTIC ASSOCIATES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA RONAY RICHARDSON LPC (PSYCHOLOGIST)
(678) 424-8650
Entity
Organization
Contact information
Practice address
1264 CONCORD RD SE, SE SUITE 106, SMYRNA, GA 30080-5302
(678) 424-8650
(678) 424-8653
Mailing address
1264 CONCORD RD SE STE 106, SMYRNA, GA 30080-5302
(678) 424-8650
(678) 424-8653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007466
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003153870A
—
GA
Enumeration date
10/19/2016
Last updated
10/19/2016
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