Organization
ANSLEY PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
F. CATHARINE WIRTH LCSW, MA (OWNER)
(404) 323-6080
Entity
Organization
Contact information
Practice address
1904 MONROE DR NE, SUITE 120, ATLANTA, GA 30324-4858
(404) 323-6080
Mailing address
1904 MONROE DR NE, SUITE 120, ATLANTA, GA 30324-4858
(404) 323-6080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004739
GA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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