Tara Pettit Deloach LLC

NPI #1124897145 in Augusta, Georgia

Provider Information

NPI Number
1124897145
Entity Type
Organization
Organization Name
Tara Pettit Deloach LLC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Jan 2, 2024
Last Updated
Jan 2, 2024

Practice Location

Address
930 STEVENS CREEK RD
State
Georgia
ZIP Code
30907-3200
Phone
(706) 343-3661

Authorized Official

Name
TARA PETTIT DELOACH, LMFT
Title
OWNER
Phone
(706) 343-3661

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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