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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

NPI Number 1548228281
LBN Legal business name ATLANTA PSYCHOTHERAPY
Authorized official DOROTHY WATTS - (OWNER/THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2006
Last updated 07/24/2008 - About 18 years ago
Identifiers
GA License # CSW 002841
GA License # SAP 10384
GA Medicaid 835815715A
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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