Organization
ATLANTA CENTER FOR EATING DISORDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA P BUCHANAN PHD (OWNER)
(770) 458-8711
Entity
Organization
Contact information
Practice address
4536 BARCLAY DRIVE, SUITE A, ATLANTA, GA 30338
(770) 458-8711
(770) 458-8640
Mailing address
4536 BARCLAY DRIVE, SUITE A, ATLANTA, GA 30338
(770) 458-8711
(770) 458-8760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/02/2007
Last updated
03/05/2012
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