Avery Partners, INC
Psychologist in Roswell, GA. Organization (NPI-2).
NPI number1871950758
StatusActive
Last updated in NPPESJan 22, 2016
Details
- NPI
- 1871950758
- Entity type
- Organization (NPI-2)
- Legal business name
- Avery Partners, INC
- Organization subpart
- No
- Enumeration date
- Jan 22, 2016
- Last updated
- Jan 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103TC1900X | Psychologist, Counseling | – | – | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | |
| 103TH0100X | Psychologist, Health Service | – | – | |
| 103TP0016X | Psychologist, Prescribing (Medical) | – | – | |
| 103TS0200X | Psychologist, School | – | – |
Other names
- Avery Behavioral Health (Doing Business As)
Practice location
1805 Old Alabama RdSuite 200
Roswell, GA 30076-2230
Phone 770-642-6100 · Fax 678-367-4603
Mailing address
1805 Old Alabama RoadSuite 200
Roswell, GA 30076-2230
Phone 770-642-6100 · Fax 678-367-4603
Authorized official
Robert J Moore
Ceo
7706426100
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