Organization Active NPI

Relationship Therapy, LLC

  • Marriage & Family Therapist
  • Valdosta, GA
National Provider Identifier
1407501299
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RELATIONSHIP THERAPY, LLC
Practice address
100 N Patterson St Ste 60
Valdosta, GA 31601-5570
Phone
(770) 750-5638
Fax
(888) 388-0456
NPI assigned
Feb 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Catherine Brooten-Brooks, M.S., LMFTNPI 1720619844
Title
Therapist/Private Practice Owner
Phone
(770) 750-5638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

100 N Patterson St Ste 60
Valdosta, GA 31601-5570

Mailing address

100 N Patterson St Ste 60
Valdosta, GA 31601-5570
Phone (770) 750-5638

Other names 1

  • RelationshipTherapy.US Other name

National Provider Directory

National Provider Directory

Locations

100 N Patterson St
Ste 60
Valdosta, GA 31601
Phone (770) 750-5638

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1407501299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N PATTERSON ST STE 60",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015570",
            "telephone_number": "770-750-5638",
            "fax_number": "888-388-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N PATTERSON ST STE 60",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015570",
            "telephone_number": "770-750-5638",
            "fax_number": "888-388-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELATIONSHIP THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-20",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "BROOTEN-BROOKS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "THERAPIST/PRIVATE PRACTICE OWNER",
        "authorized_official_telephone_number": "770-750-5638",
        "authorized_official_credential": "M.S., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RelationshipTherapy.US",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.