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Organization

TRUE INTEGRATIVE HEALTH CORP

Active
Other names
Midtown Pediatrics & Primary Care, Midtown Psychiatry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIELLE IBELEMA MD (PHYSICIAN OWNER)
(678) 322-8138
Entity
Organization

Contact information

Practice address
1230 PEACHTREE ST NE STE 1957, ATLANTA, GA 30309-3574
(678) 322-8138
(470) 468-0134
Mailing address
4062 PEACHTREE RD NE STE A-536, BROOKHAVEN, GA 30319-3021

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1041C0700X
Clinical Social Worker
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
01/12/2021
Last updated
01/12/2021
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