# THE REAL THERAPISTS OF ATLANTA, LLC.

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

## Provider details

- **NPI number:** 1710596994
- **Authorized official:** DR. TARA MILLER PH.D., NCC, LPC, (THERAPIST)
- **Authorized official phone:** (678) 898-4941

## Contact information

- **Practice address:** 626 MAIN ST, PALMETTO, GA 30268-1141
- **Practice address phone:** (678) 898-4941
- **Practice address fax:** (678) 818-4619
- **Mailing address:** 626 MAIN ST, PALMETTO, GA 30268-1141
- **Mailing address phone:** (678) 898-4941
- **Mailing address fax:** (678) 818-4619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2020
- **Last updated:** 07/23/2020