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Contact Information

AVERETTE CONSULTATION & THERAPY, LLC
2789 LAKEVIEW WALK
DECATUR, GA30035-4061
 Phone: 330-313-5773
 Fax: 404-393-3076
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Adolescent and Children Mental Health

261QM0855X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for AVERETTE CONSULTATION THERAPY LLC · (Female)

NPI Number 1578115564
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2019
Last updated 07/10/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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