Organization
LIFEGATE COUNESLING CENTER @ PEACHTREE, INC.
Active
Organization
LIFEGATE COUNESLING CENTER @ PEACHTREE, INC.
Active
Other names
Peachtree Counseling Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOREN TODD SANDEL MSMFT (EXECUTIVE DIRECOTR)
(404) 842-3150
Entity
Organization
Contact information
Practice address
3434 ROSWELL RD NW, ATLANTA, GA 30305-1202
(404) 842-3150
(404) 842-3162
Mailing address
3434 ROSWELL RD NW, ATLANTA, GA 30305-1202
(404) 842-3150
(404) 842-3162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002524
GA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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