Organization
SAMARITAN COUNSELING CENTER OF ATLANTA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY OWENS KIRWAN PHD (EXECUTIVE DIRECTOR)
(404) 228-7721
Entity
Organization
Contact information
Practice address
1328 PEACHTREE ST NE, SUITE B317, ATLANTA, GA 30309
(404) 228-7777
(404) 228-7769
Mailing address
1328 PEACHTREE ST NE, SUITE B317, ATLANTA, GA 30309
(404) 228-7777
(404) 228-7769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
09/06/2007
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