Atlanta Telehealth

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ATLANTA TELEHEALTH

Practice address

3941 Old Atlanta Station Dr SE
Atlanta, GA 30339-1984

Phone

(678) 761-5956

NPI assigned

Feb 4, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Courtney Harring

Title

Owner

Phone

(678) 761-5956

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niasha Joanette Hoover

  • Clinical Social Worker
  • Ridgeland, MS
  • NPI 1659157980
  NPD (past)
• Chemese Stubbs, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandon, MS
  • NPI 1770337248
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1184216715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 OLD ATLANTA STATION DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303391984",
            "telephone_number": "678-761-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 OLD ATLANTA STATION DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303391984",
            "telephone_number": "678-761-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "HARRING",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-761-5956"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.