The Margie Ree Hansford Thurmond Family Life Center

NPI #1376019141 in Riverdale, Georgia

Provider Information

NPI Number: 1376019141
Entity Type: Organization
Organization Name: The Margie Ree Hansford Thurmond Family Life Center
Primary Specialty: Counselor - Pastoral
Enumeration Date: Oct 19, 2018
Last Updated: Oct 19, 2018

Practice Location

Address: 710 KING RD
City: Riverdale
State: Georgia
ZIP Code: 30274-2027
Phone: (770) 468-7100

Authorized Official

Name: DR. MYRNA THURMOND MALONE, CPC
Title: CLINICAL DIRECTOR
Phone: (770) 468-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X
Marriage & Family Therapist	106H00000X
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Pastoral — Pastoral	101YP1600X	Primary

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