Organization
PREMIER PSYCHIATRIC & PSYCHOTHERAPY CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH BOTNICK NP (CFO)
(404) 403-3326
Entity
Organization
Contact information
Practice address
1430 STEPHENS DR NE, ATLANTA, GA 30329-3716
(404) 403-3326
Mailing address
1430 STEPHENS DR NE, ATLANTA, GA 30329-3716
(404) 403-3326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134565062
NPI
GA
01
—
202G702342
MEDICARE ID
GA
Enumeration date
11/08/2013
Last updated
11/08/2013
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