Therapeutic Collaborative, Llc in Albany - Clinical
Therapeutic Collaborative, Llc - NPI 1598808438
Therapeutic Collaborative, Llc is a Clinical in Albany, Georgia. Therapeutic Collaborative, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Therapeutic Collaborative, Llc is 1598808438. The last update date is 2020-08-22.
Therapeutic Collaborative, Llc's current location address is 503 N Jackson St, Albany, Georgia. You can contact this provider via phone number 2294326400 and fax number 2294326262. The mailing address for Therapeutic Collaborative, Llc is 503 N Jackson St, Albany, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Therapeutic Collaborative, Llc |
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Address | 503 N Jackson St, Albany, Georgia |
Phone Number | 2294326400 |
Fax Number | 2294326262 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Davis A Lora |
Credentials | DSW, LCSW |
Telephone Number | 2294326400 |
NPI Number Detail
NPI Number | 1598808438 |
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Provider Enumeration Date | 2007-02-14 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 503 N Jackson St |
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City | Albany |
State | Georgia (GA) |
Post Code | 317012307 |
Phone Number | 2294326400 |
Fax Number | 2294326262 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | CSW003455 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to Therapeutic Collaborative, Llc by the Centers for Medicare & Medicaid Services?
The Therapeutic Collaborative, Llc has been assigned the NPI (National Provider Identifier) 1598808438 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Therapeutic Collaborative, Llc is physically located?
The Therapeutic Collaborative, Llc is physically situated at the following address: 503 N Jackson St, Albany, GA, 317012307.
What is the Therapeutic Collaborative, Llc's specialty and taxonomy code?
The Therapeutic Collaborative, Llc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Therapeutic Collaborative, Llc receive its 1598808438 assignment from the Centers for Medicare & Medicaid Services?
The Therapeutic Collaborative, Llc was assigned its 1598808438 by the Centers for Medicare & Medicaid Services on 2007-02-14.
As of what date were the details related to Therapeutic Collaborative, Llc most recently updated or revised?
The information pertaining to Therapeutic Collaborative, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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