Individual provider · Type 1 NPI

Wachovia Thornton, LMFT

Marriage & Family Therapist · Montezuma, GA

NPI number 1417625799 Active

Practice location

131 Dogwood Dr
Montezuma, GA 31063-6303

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFT001888 (GA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

About NPI 1417625799

Wachovia Thornton, LMFT's National Provider Identifier is 1417625799, issued on Sep 1, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Montezuma, GA. The record was last updated on Aug 26, 2025.