Organization · Type 2 NPI
Therapy Pond, LLC
Mental Health Counselor · Grantville, GA
NPI number
1619576865
Active
Practice location
2939 Lone Oak Road
Grantville, GA 30220
Mailing address
1911 Ellis Road
Hogansville, GA 30230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1619576865
Therapy Pond, LLC's National Provider Identifier is 1619576865, issued on Oct 20, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grantville, GA. The record was last updated on Apr 21, 2025.