Atlanta Psychoterapy And Consulting, LLC
Community/Behavioral Health in Marietta, GA. Organization (NPI-2).
NPI number1104256437
StatusActive
Last updated in NPPESNov 22, 2013
Details
- NPI
- 1104256437
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlanta Psychoterapy And Consulting, LLC
- Organization subpart
- No
- Enumeration date
- Nov 22, 2013
- Last updated
- Nov 22, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 007474 | GA | Yes |
Practice location
1647 Lower Roswell RdMarietta, GA 30068-3336
Phone 770-633-6503
Mailing address
1386 Murrays Loch Pl NwKennesaw, GA 30152-8284
Phone 770-633-6503
Authorized official
Lorena L Soares
Owner/Member
7706336503
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