Provider Demographics
NPI:1396563631
Name:DC THERAPEUTIC INTERVENTIONS, LLC
Entity type:Organization
Organization Name:DC THERAPEUTIC INTERVENTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEONDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-918-9857
Mailing Address - Street 1:12600 DEERFIELD PKWY STE 2091
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-6108
Mailing Address - Country:US
Mailing Address - Phone:470-918-9857
Mailing Address - Fax:470-751-8698
Practice Address - Street 1:12600 DEERFIELD PKWY STE 2091
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-6108
Practice Address - Country:US
Practice Address - Phone:470-918-9857
Practice Address - Fax:470-751-8698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty