Shirley Therapeutic And Consulting Services, LLC
Marriage & Family Therapist in Warner Robins, GA. Organization (NPI-2).
NPI number1417463571
StatusActive
Last updated in NPPESDec 27, 2017
Details
- NPI
- 1417463571
- Entity type
- Organization (NPI-2)
- Legal business name
- Shirley Therapeutic And Consulting Services, LLC
- Organization subpart
- No
- Enumeration date
- Dec 27, 2017
- Last updated
- Dec 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT001503 | GA | Yes |
Practice location
611 Russell Pkwy Ste AWarner Robins, GA 31088-7691
Phone 478-922-2700
Mailing address
611 Russell Pkwy Ste AWarner Robins, GA 31088-7691
Phone 478-922-2700
Authorized official
Ronda Dionne Shirley
Owner
4789222700
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