Organization
ATLANTA PREMIER TUTORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE CAMERON LPC (DIRECTOR OF BEHAVIORAL HEALTH)
(770) 558-2147
Entity
Organization
Contact information
Practice address
5966 PRINCETON RUN TRL, TUCKER, GA 30084-8461
(347) 513-4303
Mailing address
5966 PRINCETON RUN TRL, TUCKER, GA 30084-8461
(347) 513-4303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC004463
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261253216B
—
GA
Enumeration date
03/27/2017
Last updated
03/27/2017
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