Atlanta Premier Tutoring LLC
Organization Active NPI Community/Behavioral Health Agency · Tucker, GA
NPI 1033640495 · NPPES record last updated Mar 27, 2017
Key facts
- NPI
- 1033640495
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- LPC004463 (GA)
- Legal business name
- ATLANTA PREMIER TUTORING LLC
- Practice address
- 5966 Princeton Run TRL
Tucker, GA 30084-8461 - Phone
- (347) 513-4303
- NPI assigned
- Mar 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Willie Cameron, LPC
- Title
- Director of Behavioral Health
- Phone
- (770) 558-2147
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPC004463 | GA | Yes |
Addresses
Primary practice location
5966 Princeton Run TRL
Tucker, GA 30084-8461
Mailing address
5966 Princeton Run TRL
Tucker, GA 30084-8461
Phone (347) 513-4303
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261253216B | Medicaid | GA |
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All providers in Tucker, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.