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Organization
EPIPHANY HEALTHCARE SYSTEMS, INC
Active
Organization
EPIPHANY HEALTHCARE SYSTEMS, INC
Active
Other names
Accessible Healthcare of South Atlanta
Organization subpart
No
Provider details
NPI number
Authorized official
DICKSON OSANU RN, MBA (CEO)
(770) 306-3415
Entity
Organization
Contact information
Practice address
4405 MALL BLVD, SUITE 315, UNION CITY, GA 30291-2044
(770) 306-3416
(770) 306-3417
Mailing address
4405 MALL BLVD, SUITE 315, UNION CITY, GA 30291-2044
(770) 306-3416
(770) 306-3417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/11/2016
Last updated
01/18/2017
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