Individual
ANTHONY POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LPC
Contact information
Practice address
2255 CUMBERLAND PKWY SE, BLDG 500; SUITE 300, ATLANTA, GA 30339-4515
(404) 592-7928
Mailing address
3144 PARC CT SW, ATLANTA, GA 30311-5206
(404) 849-9906
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC011271
GA
106H00000X
Marriage & Family Therapist
AMT000381
GA
106H00000X
Marriage & Family Therapist
Primary
MFT001668
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003228543A
—
GA
Enumeration date
06/21/2017
Last updated
05/20/2020
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