Attachment & Bonding Center of Atlanta, LLC

Organization Active NPI Professional Counselor · Tucker, GA

NPI 1699876763 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1699876763
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
ATTACHMENT & BONDING CENTER OF ATLANTA, LLC
Practice address
3524 Habersham at Northlake
BLDG. a
Tucker, GA 30084-4009
Phone
(678) 406-9707
Fax
(678) 406-9881
NPI assigned
Sep 25, 2006
Organization subpart
No

Authorized official

Name
Mr. Jeffrey Eugene Atkinson, LPC
Title
V.P.
Phone
(678) 406-9707

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Attachment and Bonding Center of Atlanta LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X Yes

Addresses

Primary practice location

3524 Habersham at Northlake
BLDG. a
Tucker, GA 30084-4009

Mailing address

3524 Habersham at Northlake
BLDG. a
Tucker, GA 30084-4009
Phone (678) 406-9707

Other providers in Tucker, GA

All providers in Tucker, GA · Professional Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.