Organization · NPI-2

Foundational Link Therapeutic Services, LLC

Clinic/Center, Adult Mental Health · Newnan, GA

NPI number1760157200
StatusActive
Last updated in NPPESAug 16, 2021

Details

NPI
1760157200
Entity type
Organization (NPI-2)
Legal business name
Foundational Link Therapeutic Services, LLC
Organization subpart
No
Enumeration date
Aug 16, 2021
Certification date
Aug 16, 2021
Last updated
Aug 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

5 1/2 W Washington St Ste 6
Newnan, GA 30263-2026

Phone 678-416-1584

Mailing address

46 W Washington St
Newnan, GA 30263-2034

Phone 678-416-1584

Authorized official

Jennifer Barnett
Owner
6784161584

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