Provider Demographics
NPI:1952854630
Name:DUMAS THERAPY
Entity Type:Organization
Organization Name:DUMAS THERAPY
Other - Org Name:THE THERAPY CONNECTION
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HARRIETT
Authorized Official - Middle Name:LACHELLE
Authorized Official - Last Name:DUMAS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:478-731-5235
Mailing Address - Street 1:3203 VINEVILLE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-2323
Mailing Address - Country:US
Mailing Address - Phone:478-731-9477
Mailing Address - Fax:877-703-4584
Practice Address - Street 1:3203 VINEVILLE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-2323
Practice Address - Country:US
Practice Address - Phone:478-731-9477
Practice Address - Fax:877-703-4584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT002530174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000888423EMedicaid