Organization
ATLANTA PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY WATTS (CEO)
(770) 389-1925
Entity
Organization
Contact information
Practice address
175 COUNTRY CLUB DR BLDG 200E, STOCKBRIDGE, GA 30281-7381
(770) 389-1925
Mailing address
175 COUNTRY CLUB DR BLDG 200E, STOCKBRIDGE, GA 30281-7381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0436594
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983114811A
—
GA
Enumeration date
02/21/2008
Last updated
02/21/2008
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