Atlanta Psychotherapy
Organization Active NPI Community/Behavioral Health Agency · Stockbridge, GA
NPI 1124297494 · NPPES record last updated Feb 21, 2008
Key facts
- NPI
- 1124297494
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 0436594 (GA)
- Legal business name
- ATLANTA PSYCHOTHERAPY
- Practice address
- 175 Country Club Dr BLDG 200E
Stockbridge, GA 30281-7381 - Phone
- (770) 389-1925
- NPI assigned
- Feb 21, 2008
- Organization subpart
- No
Authorized official
- Name
- Dorothy Watts
- Title
- Ceo
- Phone
- (770) 389-1925
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Atlanta Psychotherapy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0436594 | GA | Yes |
Addresses
Primary practice location
175 Country Club Dr BLDG 200E
Stockbridge, GA 30281-7381
Mailing address
175 Country Club Dr BLDG 200E
Stockbridge, GA 30281-7381
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 983114811A | Medicaid | GA |
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All providers in Stockbridge, 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 Feb 21, 2008. 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.