Resolve Psychotherapy, LLC
Organization Active NPI Clinical Social Worker · Avondale Estates, GA
NPI 1144524331 · NPPES record last updated Jan 2, 2011
Key facts
- NPI
- 1144524331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 003929 (GA)
- Legal business name
- RESOLVE PSYCHOTHERAPY, LLC
- Practice address
- 3164 Kensington Rd
Avondale Estates, GA 30002-1456 - Phone
- (404) 844-1691
- NPI assigned
- Jan 2, 2011
- Organization subpart
- No
Authorized official
- Name
- Ms. Meredith Lisa Albert, LCSW
- Title
- Owner
- Phone
- (404) 844-1691
Practitioners 2
-
Meredith Lisa Albert, LMCW
-
Amy Lynne Stern, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110209000691 | GA | Part B Supplier - Clinic/Group Practice | 8426238387 |
Receives reassigned benefits from 2 practitioners Practice locations: Avondale Estates, GA; Atlanta, GA |
National Provider Directory
Locations
5881 Glenridge Dr
Ste 240
Sandy Springs, GA 30328
Phone (404) 844-1691
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 003929 | GA | Yes |
Addresses
Primary practice location
3164 Kensington Rd
Avondale Estates, GA 30002-1456
Mailing address
3164 Kensington Rd
Avondale Estates, GA 30002-1456
Phone (404) 844-1691
Other providers in Avondale Estates, GA
- Mary Ngoctran Nguyen
- Alexandra Nunez
- Anna Peddle
- Xavier Deon Peterson
- Tera Reid
- Restorative Foundations Pelvic Health & Wellness
- Anne Rice
- Julia Rizzo
- Afsoon Sanei
- Lauren Shemain
All providers in Avondale Estates, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.