Organization
ATLANTA CHILD AND FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYISIYA SANDERS LPC (OWNER)
(770) 756-6303
Entity
Organization
Contact information
Practice address
2144 KODIAK DR NE, ATLANTA, GA 30345-4150
(770) 756-6303
Mailing address
2144 KODIAK DR NE, ATLANTA, GA 30345-4150
(770) 756-6303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982036539
NPI
GA
Enumeration date
07/21/2020
Last updated
07/21/2020
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