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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

NPI # 1578115564
LBN Legal business name AVERETTE CONSULTATION & THERAPY, LLC
Authorized official TIFFANY AVERETTE-SMITH - (SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2019
Last updated 07/10/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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