Advance Therapeutic Concepts of Mississippi, Inc.
Organization Active NPI Community/Behavioral Health Agency · Snellville, GA
NPI 1477091353 · NPPES record last updated Feb 10, 2017
Key facts
- NPI
- 1477091353
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ADVANCE THERAPEUTIC CONCEPTS OF MISSISSIPPI, INC.
- Practice address
- 2795 Main St W
Suite 20B
Snellville, GA 30078-3164 - Phone
- (678) 344-7836
- Fax
- (678) 892-8575
- NPI assigned
- Feb 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Schantate O Johnson, LMSW
- Title
- Ceo
- Phone
- (678) 344-7836
National Provider Directory
Locations
2795 Main St W
Ste 20B
Snellville, GA 30078
Phone (678) 344-7836
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2795 Main St W
Suite 20B
Snellville, GA 30078-3164
Mailing address
2795 Main St W
Suite 20B
Snellville, GA 30078-3164
Phone (678) 344-7836
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- Gerald Paige Adler
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- Advance Therapeutic Concepts, Inc.
- Advance Therapeutic Concepts, Inc.
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All providers in Snellville, 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 10, 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.