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Organization
ATLANTA CHILD AND FAMILY THERAPY, LLC
Active
Organization
ATLANTA CHILD AND FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYISIYA SANDERS LPC (OWNER)
(770) 756-6303
Entity
Organization
Contact information
Practice address
2144 KODIAK DR NE, ATLANTA, GA 30345-4150
(770) 756-6303
Mailing address
2144 KODIAK DR NE, ATLANTA, GA 30345-4150
(770) 756-6303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982036539
NPI
GA
Enumeration date
07/21/2020
Last updated
07/21/2020
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