The Soldier Therapist

LBN: Soldier Therapist
The Soldier Therapist is an health care organization with primary practice located at 1760 Lakes Pkwy Unit 4416 , Lawrenceville GA 30043-6194. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Soldier Therapist can be contacted via phone (678) 805-7181, or through Jeanes, Raymond Edwin via phone (678) 805-7181.

Contact Information

Primary practice address
1760 Lakes Pkwy Unit 4416 Lawrenceville GA 30043-6194
Phone: (678) 805-7181
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jeanes, Raymond Edwin Licensed Clinical Social Worker (LCSW)
Phone: (678) 805-7181

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1780348458
LBN Legal business name Soldier Therapist
DBA Doing business as The Soldier Therapist
Authorized official Jeanes, Raymond Edwin Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2021
Last updated Feb 28th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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