Organization
ENTERA HEALTH ALLIANCE - GA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATAVIOUS JOHNSON LPC-S (MANAGER)
(678) 824-5664
Entity
Organization
Contact information
Practice address
9040 ROSWELL RD STE 500, ATLANTA, GA 30350-1863
(678) 824-5664
Mailing address
9040 ROSWELL RD STE 500, ATLANTA, GA 30350-1863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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