Organization
RECLIF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOU L BLANKINSHIP (OWNER)
(678) 691-5426
Entity
Organization
Contact information
Practice address
3200 POINTE PKWY STE 200, PEACHTREE CORNERS, GA 30092-3370
(678) 691-5426
Mailing address
3200 POINTE PKWY STE 200, PEACHTREE CORNERS, GA 30092-3370
(678) 691-5426
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
MUT000126
GA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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