Provider Demographics
NPI:1104202456
Name:AMA THERAPY & CO., INC.
Entity type:Organization
Organization Name:AMA THERAPY & CO., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-796-8588
Mailing Address - Street 1:605 NEWNAN ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-3428
Mailing Address - Country:US
Mailing Address - Phone:678-796-8588
Mailing Address - Fax:678-664-9107
Practice Address - Street 1:605 NEWNAN ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-3428
Practice Address - Country:US
Practice Address - Phone:678-796-8588
Practice Address - Fax:678-664-9107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-09
Last Update Date:2015-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health