Provider Demographics
NPI:1770820235
Name:CHILD & FAMILY THERAPY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:CHILD & FAMILY THERAPY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:T
Authorized Official - Last Name:BRUGGEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, LPC
Authorized Official - Phone:678-848-0131
Mailing Address - Street 1:226 ALCOVY ST
Mailing Address - Street 2:SUITE A-3
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-2183
Mailing Address - Country:US
Mailing Address - Phone:770-266-1919
Mailing Address - Fax:770-266-1919
Practice Address - Street 1:226 ALCOVY ST
Practice Address - Street 2:SUITE A-3
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-2183
Practice Address - Country:US
Practice Address - Phone:770-266-1919
Practice Address - Fax:770-266-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006472101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty