Organization
BLUE HERON COUNSELING LLC
Active
Other names
Blue Heron Counseling LLC, Blue Heron Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA NATANAGARA LPC (OWNER)
(404) 797-3292
Entity
Organization
Contact information
Practice address
1720 PEACHTREE ST NW STE 510, ATLANTA, GA 30309-2462
(404) 797-3292
Mailing address
928 SYCAMORE DR, DECATUR, GA 30030-1641
(404) 797-3292
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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