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Organization

TAGTA, LLC

Active
Other names
Georgia Behavioral Health Professionals
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY TAGTACHIAN MBA, CPA (PRESIDENT)
(770) 431-2354
Entity
Organization

Contact information

Practice address
4015 S COBB DR SE, STE 115, SMYRNA, GA 30080-6303
(770) 431-2354
(770) 436-7143
Mailing address
4015 S COBB DR SE, STE 115, SMYRNA, GA 30080-6303
(770) 431-2354
(770) 436-7143

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2084P0800X
Psychiatry Physician
Primary
2084P0802X
Addiction Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
02/08/2011
Last updated
02/08/2011
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