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Organization

THE INTIMACY CENTER OF GEORGIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE WALTHOUR (CLINICAL DIRECTOR)
(678) 750-3952
Entity
Organization

Contact information

Practice address
3400 CHAPEL HILL RD STE 317, DOUGLASVILLE, GA 30135-1739
(678) 750-3952
(678) 838-4595
Mailing address
3400 CHAPEL HILL RD STE 317, DOUGLASVILLE, GA 30135-1739
(678) 750-3952
(678) 838-4595

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001585
GA

Other

Enumeration date
08/31/2018
Last updated
06/28/2021
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