Organization
ATLAS PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHA AMY NASAMRAN PHD, LP (OWNER, LICENSED PSYCHOLOGIST)
(517) 258-2424
Entity
Organization
Contact information
Practice address
2929 COVINGTON CT, LANSING, MI 48912-4941
(517) 258-2424
Mailing address
1515 W SHIAWASSEE ST, LANSING, MI 48915-1203
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154952224
NPI 1
—
Enumeration date
07/06/2021
Last updated
07/06/2021
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