Organization
THERAPEUTIC ALLIES
Active
Other names
Therapeutic Allies
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO MORALES CELEDON LPC, NCC (REGISTER AGENT)
(404) 955-3306
Entity
Organization
Contact information
Practice address
540 POWDER SPRINGS ST STE C17, MARIETTA, GA 30064-3561
(404) 642-8381
Mailing address
4221 GRAVITT PL, DULUTH, GA 30096-4385
(404) 955-3306
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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