Organization
HEATHER KOTLERLCSW MPH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER I KOTLER LCSW MPH (OFFICER)
(404) 798-7228
Entity
Organization
Contact information
Practice address
215 CHURCH ST STE 109, DECATUR, GA 30030-3330
(404) 798-7228
Mailing address
215 CHURCH ST STE 109, DECATUR, GA 30030-3330
(404) 798-7228
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
03/18/2019
Last updated
03/18/2019
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