# ENTERA HEALTH ALLIANCE - GA, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1164382362
- **Authorized official:** ATAVIOUS JOHNSON LPC-S (MANAGER)
- **Authorized official phone:** (678) 824-5664

## Contact information

- **Practice address:** 9040 ROSWELL RD STE 500, ATLANTA, GA 30350-1863
- **Practice address phone:** (678) 824-5664
- **Mailing address:** 9040 ROSWELL RD STE 500, ATLANTA, GA 30350-1863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2025
- **Last updated:** 11/12/2025