Families 4 Change, Inc.

Organization Active NPI Marriage & Family Therapist · Bogart, GA

NPI 1134544117 · NPPES record last updated Feb 27, 2014

Key facts

NPI
1134544117
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
License
000480 (GA)
Legal business name
FAMILIES 4 CHANGE, INC.
Practice address
1551 Jennings Mill Rd
Suite 3100B
Bogart, GA 30622-2544
Phone
(706) 369-9707
Fax
(706) 369-9708
NPI assigned
Feb 27, 2014
Organization subpart
No

Authorized official

Name
Dr. William Quinn, PH.D
Title
Executive Director
Phone
(706) 369-9707

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X 000480 GA Yes

Addresses

Primary practice location

1551 Jennings Mill Rd
Suite 3100B
Bogart, GA 30622-2544

Mailing address

1551 Jennings Mill Rd
Suite 3100B
Bogart, GA 30622-2544
Phone (706) 369-9707

Other providers in Bogart, GA

All providers in Bogart, GA · Marriage & Family Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.