Aspire365 Georgia LLC

Organization Active NPI Adult Mental Health Clinic/Center · Atlanta, GA

NPI 1942020003 · NPPES record last updated Oct 28, 2024

Key facts

NPI
1942020003
Entity type
Organization (NPI type 2)
Primary specialty
Adult Mental Health Clinic/Center 261QM0850X
Legal business name
ASPIRE365 GEORGIA LLC
Practice address
3379 Peachtree Rd NE Ste 655
Atlanta, GA 30326-1535
Phone
(385) 352-9696
NPI assigned
Oct 14, 2024
Organization subpart
No

Authorized official

Name
Zachary Jenson
Title
Ceo
Phone
(385) 352-9746

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Addiction Medicine (Preventive Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2083A0300X
Addiction Medicine (Psychiatry & Neurology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084A0401X
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0800X
Adult Mental Health Clinic/Center 261QM0850X Yes
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

3379 Peachtree Rd NE Ste 655
Atlanta, GA 30326-1535

Mailing address

9350 S 150 E Ste 320
Sandy, UT 84070-2707
Phone (385) 352-9696

Other providers in Atlanta, GA

All providers in Atlanta, GA · Adult Mental Health Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.