Organization
EPIPHANY HEALTHCARE SYSTEMS, INC
Active
Other names
Accessible Healthcare of South Atlanta
Organization subpart
No
Provider details
NPI number
Authorized official
DICKSON OSANU RN, MBA (CEO)
(770) 306-3415
Entity
Organization
Contact information
Practice address
4405 MALL BLVD, SUITE 315, UNION CITY, GA 30291-2044
(770) 306-3416
(770) 306-3417
Mailing address
4405 MALL BLVD, SUITE 315, UNION CITY, GA 30291-2044
(770) 306-3416
(770) 306-3417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/11/2016
Last updated
01/18/2017
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