Provider Demographics
NPI:1407501299
Name:RELATIONSHIP THERAPY, LLC
Entity Type:Organization
Organization Name:RELATIONSHIP THERAPY, LLC
Other - Org Name:RELATIONSHIPTHERAPY.US
Other - Org Type:Other Name
Authorized Official - Title/Position:THERAPIST/PRIVATE PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:BROOTEN-BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:770-750-5638
Mailing Address - Street 1:100 N PATTERSON ST STE 60
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31601-5570
Mailing Address - Country:US
Mailing Address - Phone:770-750-5638
Mailing Address - Fax:888-388-0456
Practice Address - Street 1:100 N PATTERSON ST STE 60
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31601-5570
Practice Address - Country:US
Practice Address - Phone:770-750-5638
Practice Address - Fax:888-388-0456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-20
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty