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Organization
ADVANCING YOUTH'S ACADEMY, INC
Active
Organization
ADVANCING YOUTH'S ACADEMY, INC
Active
Other names
Alternative Youth Academy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMMYS ALEMANIA BELTRAN PH.D. (CEO)
(770) 650-0000
Entity
Organization
Contact information
Practice address
2662 HOLCOMB BRIDGE RD, SUITES 340, 328, 330, ALPHARETTA, GA 30022-6819
(770) 650-0000
(770) 650-0002
Mailing address
2662 HOLCOMB BRIDGE RD, SUITES 340, 328, 330, ALPHARETTA, GA 30022-6819
(770) 650-0000
(770) 650-0002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC002972
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
125325
GA
101YP1600X
Pastoral Counselor
—
GA
101YS0200X
School Counselor
—
GA
103T00000X
Psychologist
125325
GA
103TB0200X
Cognitive & Behavioral Psychologist
APC002972
GA
103TC2200X
Clinical Child & Adolescent Psychologist
—
GA
103TF0000X
Family Psychologist
—
GA
103TF0200X
Forensic Psychologist
Primary
—
GA
103TP2701X
Group Psychotherapy Psychologist
—
GA
103TR0400X
Rehabilitation Psychologist
—
GA
235Z00000X
Speech-Language Pathologist
—
GA
247200000X
Other Technician
—
GA
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12471665
CAQH
GA
Enumeration date
09/13/2012
Last updated
07/22/2015
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