Organization
INNER CHANGELLC, COUNSELING AND EDUCATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI ANNE GATSON LCSW (CO-FOUNDER)
(404) 989-3114
Entity
Organization
Contact information
Practice address
3600 DEKALB TECHNOLOGY PKWY, SUITE140, ATLANTA, GA 30340-3612
(404) 989-3114
(470) 282-5102
Mailing address
3600 DEKALB TECHNOLOGY PKWY, SUITE140, ATLANTA, GA 30340-3612
(404) 989-3114
(470) 282-5102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001981
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136433A
—
GA
Enumeration date
01/15/2016
Last updated
01/15/2016
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