Organization
SHANTI PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A. MILNER II LCSW (CEO)
(678) 640-1263
Entity
Organization
Contact information
Practice address
276 DECATUR ST SE, ATLANTA, GA 30312-1755
(678) 640-1263
(404) 659-2108
Mailing address
4307 SHAMROCK DR, ATLANTA, GA 30349-7617
(678) 640-1263
(770) 306-4638
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW004725
GA
Other
Enumeration date
10/20/2012
Last updated
10/20/2012
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