# REBIRTH COUNSELING AND TRAINING CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1932479755
- **Authorized official:** CAROLYN HARPE WALLER EDS. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (404) 867-3093

## Contact information

- **Practice address:** 3120 S MARTIN ST STE 100, EAST POINT, GA 30344-4396
- **Practice address phone:** (678) 705-5698
- **Mailing address:** 3120 S MARTIN ST STE 100, EAST POINT, GA 30344-4396
- **Mailing address phone:** (404) 867-3093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/10/2012
- **Last updated:** 03/05/2024