# BETH-ANN BUITEKANT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053659953
- **Authorized official:** DR. BETH-ANN BUITEKANT PSY. D., RN (PRESIDENT)
- **Authorized official phone:** (404) 818-6073

## Contact information

- **Practice address:** 1244 CLAIRMONT RD, DECATUR, GA 30030-1259
- **Practice address phone:** (404) 818-6073
- **Mailing address:** 1244 CLAIRMONT RD, DECATUR, GA 30030-1259
- **Mailing address phone:** (404) 818-6073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | R065174 | GA | Yes |

## Other

- **Enumeration date:** 01/28/2013
- **Last updated:** 01/28/2013