| NPI | 1174338214 |
|---|---|
| Former Legal Business Name | SOCIALMINDS THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | RENEE BOUY Owner/Speech Language Pathologist 706-347-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |