| NPI | 1114460243 |
|---|---|
| Doing Business As | RECONNECT THERAPEUTIC ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | ANGELA R RICHARDSON CEO/Therapist 678-424-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007446) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC007446) |
| 102L00000X Psychoanalyst (Licence: GA LPC007446) | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |