Provider Demographics
NPI:1508228867
Name:TALK WORKS INC
Entity Type:Organization
Organization Name:TALK WORKS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:706-224-0012
Mailing Address - Street 1:3001 MONROE HWY
Mailing Address - Street 2:STE 600 C
Mailing Address - City:BOGART
Mailing Address - State:GA
Mailing Address - Zip Code:30622-8513
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3001 MONROE HWY
Practice Address - Street 2:STE 600 C
Practice Address - City:BOGART
Practice Address - State:GA
Practice Address - Zip Code:30622-8513
Practice Address - Country:US
Practice Address - Phone:706-224-0012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003172103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty