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Contact Information

HEAL THY ENERGY EXPRESSIVE THERAPY, LLC
5300 MEMORIAL DR STE 138
STONE MOUNTAIN, GA30083-3155
 Phone: 678-743-1965
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Dance Therapist

225600000X
 

Health Educator

174H00000X
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for HEAL THY ENERGY EXPRESSIVE THERAPY, LLC

NPI Number 1962275230
LBN Legal business name HEAL THY ENERGY EXPRESSIVE THERAPY, LLC
Authorized official LAURIE JONES - (CEO / DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 10/30/2023
Last updated 06/19/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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