Organization
BLUEPRINT THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BAYNES LCSW (OWNER)
(470) 332-0605
Entity
Organization
Contact information
Practice address
315 W PONCE DE LEON AVE STE 645, DECATUR, GA 30030-2480
(470) 332-0606
Mailing address
275 13TH ST NE APT 310, ATLANTA, GA 30309-3698
(770) 367-5270
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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