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EMBODIED THERAPY SERVICES, LLC
NPI 1205694544
Counselor - Mental Health in Mcdonough, GA

Active since March 11, 2024
806 PAVILION CT, MCDONOUGH, GA 30253(404) 805-1828(678) 466-7561 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Embodied Therapy Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMBODIED THERAPY SERVICES, LLC (NPI 1205694544) is a healthcare organization registered as a mental health in Mcdonough, Georgia and active in the NPI registry since March 2024. The organization lists Jaquita Shorts, Owner, as its authorized official.

NPPES Registry Identity

NPI1205694544
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEMBODIED THERAPY SERVICES, LLC
Location Address806 PAVILION CTMcdonough, GA 30253-6666
Mailing Address806 Pavilion CtMcdonough, GA 30253-6666 · (404) 805-1828 · Fax (678) 466-7561
Phone(404) 805-1828
Fax(678) 466-7561
Organization SubpartNo
Authorized OfficialJaquita ShortsOwner · (404) 805-1828
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1205694544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
806 PAVILION CT, Mcdonough, GA 30253
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALING HEARTZ THERAPY SOULUTIONS
Counselor (Mental Health)
806 PAVILION CT
MCDONOUGH, GA 30253
Henry County (470) 214-9572

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Embodied Therapy Services, LLC's NPI number?

The NPI number for Embodied Therapy Services, LLC is 1205694544. It was assigned to this organization in the NPPES registry on March 11, 2024.

Where is Embodied Therapy Services, LLC located?

Embodied Therapy Services, LLC is located at 806 Pavilion Ct, Mcdonough, GA 30253. The listed phone number is (404) 805-1828.

What is Embodied Therapy Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Embodied Therapy Services, LLC was last updated on March 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.