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Contact Information

ATLANTA PSYCHOTHERAPY
175 COUNTRY CLUB DR
SUITE 200-E
STOCKBRIDGE, GA30281-9054
 Phone: 770-389-1925
 Fax: 770-389-3077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ATLANTA PSYCHOTHERAPY · (Female)

NPI Number 1548228281
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2006
Last updated 07/24/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # CSW 002841
  • GA License # SAP 10384
  • GA Medicaid 835815715A
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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