Organization Name: | TALK WORKS INC |
NPI Number: | 1508228867 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIE WILLIAMS (CEO) |
Mailing Address: | 3001 Monroe Hwy Ste 600 C Bogart |
State: | GA US |
Postal Code: | 306228513 |
Phone Number: | 7062240012 |
Fax Number: | |
NPI Enumeration Date: | 03/25/2016 |
NPI Last Update Date: | 03/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY003172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |