Patricia Ave-Lallemant, LMFT
Individual provider Active NPI Marriage & Family Therapist · Atlanta, GA
NPI 1831478098 · NPPES record last updated Aug 5, 2011
Key facts
- NPI
- 1831478098
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT001203 (GA)
- Practice address
- 3349 Asbury SQ
Atlanta, GA 30346-2419 - Phone
- (678) 923-6221
- NPI assigned
- Aug 5, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0958 | GA | MD | Clinical Psychologist |
| MFT001203 | GA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0958 | GA | |
| Marriage & Family Therapist | 106H00000X | MFT001203 | GA | Yes |
Addresses
Primary practice location
3349 Asbury SQ
Atlanta, GA 30346-2419
Mailing address
PO Box 88673
Atlanta, GA 30356-8673
Phone (678) 923-6221
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All providers in Atlanta, GA · Marriage & Family Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2011. 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.