Organization
GLOBECORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY MICHELLE LEWIS PH.D. (PRESIDENT/LICENSED PSYCHOLOGIST)
(404) 641-7705
Entity
Organization
Contact information
Practice address
3355 LENOX RD NE, STE 1000, ATLANTA, GA 30326
(770) 284-1044
(404) 228-3860
Mailing address
2031 PINNACLE POINTE DR, NORCROSS, GA 30071-4917
(404) 641-7705
(770) 559-9015
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY003785
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003148962A
—
GA
Enumeration date
10/14/2014
Last updated
01/06/2025
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