Organization
ACCESS MENTAL HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK BROWN (OWNER)
(678) 335-9010
Entity
Organization
Contact information
Practice address
215 LAKEWOOD WAY SW, 205, ATLANTA, GA 30315-6022
(678) 335-9010
Mailing address
215 LAKEWOOD WAY SW, 205, ATLANTA, GA 30315-6022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
005397
GA
101YP2500X
Professional Counselor
Primary
005536
GA
101YP2500X
Professional Counselor
006044
GA
101YP2500X
Professional Counselor
006188
GA
101YP2500X
Professional Counselor
006205
GA
101YP2500X
Professional Counselor
006400
GA
101YP2500X
Professional Counselor
006760
GA
103TP0016X
Prescribing (Medical) Psychologist
046882
GA
103TP0016X
Prescribing (Medical) Psychologist
10576464
GA
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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