Life Therapy, INC.
Social Worker, Clinical in Albany, GA. Organization (NPI-2).
NPI number1457095960
StatusActive
Last updated in NPPESApr 21, 2022
Details
- NPI
- 1457095960
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Therapy, INC.
- Organization subpart
- No
- Enumeration date
- Apr 21, 2022
- Certification date
- Apr 21, 2022
- Last updated
- Apr 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2010 Hidden CtAlbany, GA 31707-1945
Phone 678-672-9362
Mailing address
2010 Hidden CtAlbany, GA 31707-1945
Phone 678-672-9362
Authorized official
Antoinette Dion Wilson
Owner/Lcsw
6786729362
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