Organization · NPI-2

Cooper Academy INC.

Community/Behavioral Health · Loganville, GA

NPI number1699603381
StatusActive
Last updated in NPPESMay 12, 2026

Details

NPI
1699603381
Entity type
Organization (NPI-2)
Legal business name
Cooper Academy INC.
Organization subpart
No
Enumeration date
May 12, 2026
Certification date
May 12, 2026
Last updated
May 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

4227 Franklin Mill Ln
Loganville, GA 30052-9701

Phone 678-609-8409

Mailing address

4227 Franklin Mill Ln
Loganville, GA 30052-9701

Phone 678-609-8409

Authorized official

Demetrea Cooper
Owner
8036166794

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