Organization
ATLANTA COMPREHENSIVE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYN ST.LIFER KOORIS (LCSW)
(678) 925-3516
Entity
Organization
Contact information
Practice address
1640 POWERS FERRY RD, BUILDING 3, SUITE 250, MARIETTA, GA 30067-5491
(678) 925-3516
(678) 401-6171
Mailing address
3003 BYRONS POND DR, MARIETTA, GA 30062-8330
(678) 925-3516
(678) 401-6171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
1021709
MA
1041C0700X
Clinical Social Worker
CSW003845
GA
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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