SOLDIER THERAPIST NPI 1780348458

NPI Details

SOLDIER THERAPIST is a clinical social worker in Lawrenceville, GA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. SOLDIER THERAPIST NPI is 1780348458. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Soldier Therapist.

The provider's business location address is:

1760 LAKES PKWY UNIT 4416
LAWRENCEVILLE, GA
ZIP 30043-194
Phone: (678) 805-7181

The provider's authorized official is Raymond Edwin Jeanes .
The authorized official title is Owner and has the following contact phone number (678) 805-7181.

The enumeration date for this NPI number is 10/28/2021 and was last updated on 2/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: