Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Soldier Therapist

Organization Clinical Social Worker · NPI 1780348458

Soldier Therapist is a Clinical Social Worker in Lawrenceville, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1760 Lakes Pkwy Unit 4416
Lawrenceville, GA 30043-6194
Phone: (678) 805-7181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1780348458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Jeanes — Owner · (678) 805-7181
Other names The Soldier Therapist
NPI enumeratedOctober 28, 2021
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022
Mailing address1760 Lakes Pkwy Unit 4416, Lawrenceville, GA 30043-6194

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