Organization
SOUTH MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J LATTIMORE PHD, LPC (DIRECTOR)
(404) 730-0249
Entity
Organization
Contact information
Practice address
1636 CONNALLY DR, EAST POINT, GA 30344-2558
(404) 762-4042
(404) 762-3626
Mailing address
115 MARTIN LUTHER KING JR DR SW STE 277, ATLANTA, GA 30303-3553
(404) 730-0230
(404) 730-0341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003394
GA
Other
Enumeration date
02/11/2009
Last updated
02/12/2009
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