Organization
ADVANCING YOUTH'S ACADEMY, INC
Active
Other names
Alternative Youth Academy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMMYS ALEMANIA BELTRAN PH.D. (CEO)
(770) 650-0000
Entity
Organization
Contact information
Practice address
2662 HOLCOMB BRIDGE RD, SUITES 340, 328, 330, ALPHARETTA, GA 30022-6819
(770) 650-0000
(770) 650-0002
Mailing address
2662 HOLCOMB BRIDGE RD, SUITES 340, 328, 330, ALPHARETTA, GA 30022-6819
(770) 650-0000
(770) 650-0002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC002972
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
125325
GA
101YP1600X
Pastoral Counselor
—
GA
101YS0200X
School Counselor
—
GA
103T00000X
Psychologist
125325
GA
103TB0200X
Cognitive & Behavioral Psychologist
APC002972
GA
103TC2200X
Clinical Child & Adolescent Psychologist
—
GA
103TF0000X
Family Psychologist
—
GA
103TF0200X
Forensic Psychologist
Primary
—
GA
103TP2701X
Group Psychotherapy Psychologist
—
GA
103TR0400X
Rehabilitation Psychologist
—
GA
235Z00000X
Speech-Language Pathologist
—
GA
247200000X
Other Technician
—
GA
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12471665
CAQH
GA
Enumeration date
09/13/2012
Last updated
07/22/2015
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