# PSYCH CARE ATL

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

## Provider details

- **NPI number:** 1912574732
- **Authorized official:** REBECCA PIHERA APRN (OWNER)
- **Authorized official phone:** (770) 841-4440

## Contact information

- **Practice address:** 315 W PONCE DE LEON AVE STE 546, DECATUR, GA 30030-2448
- **Practice address phone:** (404) 997-8043
- **Practice address fax:** (949) 757-8783
- **Mailing address:** 315 W PONCE DE LEON AVE STE 546, DECATUR, GA 30030-2448
- **Mailing address phone:** (404) 997-8043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2021
- **Last updated:** 06/29/2024