Organization
MINDFUL THERAPY WORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE NICHOLS (OWNER/LCSW)
(770) 862-1735
Entity
Organization
Contact information
Practice address
2900 PACES FERRY RD SE STE C2000, ATLANTA, GA 30339-5730
(770) 862-1735
(470) 235-4663
Mailing address
2900 PACES FERRY RD SE STE C2000, ATLANTA, GA 30339-5730
(770) 862-1735
(470) 235-4663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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