Organization
ATLANTA INNOVATIVE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTI BARTOLOMUCCI PH.D. (OWNER)
(404) 808-3370
Entity
Organization
Contact information
Practice address
4045 ORCHARD RD SE STE 110, SMYRNA, GA 30080-4904
(770) 293-1950
Mailing address
4045 ORCHARD RD SE STE 110, SMYRNA, GA 30080-4904
(770) 293-1950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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