Organization
ADVANCE THERAPEUTIC CONCEPTS OF MISSISSIPPI, INC.
Active
Organization
ADVANCE THERAPEUTIC CONCEPTS OF MISSISSIPPI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCHANTATE O JOHNSON LMSW (CEO)
(678) 344-7836
Entity
Organization
Contact information
Practice address
2795 MAIN ST W, SUITE 20B, SNELLVILLE, GA 30078-3164
(678) 344-7836
(678) 892-8575
Mailing address
2795 MAIN ST W, SUITE 20B, SNELLVILLE, GA 30078-3164
(678) 344-7836
(678) 892-8575
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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