Organization
THE IMARA CENTER,LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALA I. HILAIRE LCSW, MAC (CEO)
(404) 564-4796
Entity
Organization
Contact information
Practice address
3915 CASCADE ROAD SW, SUITE 205, ATLANTA, GA 30331-8522
(404) 564-4796
(866) 669-0494
Mailing address
3915 CASCADE ROAD SW, SUITE 205, ATLANTA, GA 30331-8522
(404) 564-4796
(866) 669-0494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSW001980
GA
101YM0800X
Mental Health Counselor
CSW001980
GA
101YP2500X
Professional Counselor
CSW001980
GA
103T00000X
Psychologist
CSW001980
GA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
CSW001980
GA
103TB0200X
Cognitive & Behavioral Psychologist
CSW001980
GA
103TC0700X
Clinical Psychologist
CSW001980
GA
103TC1900X
Counseling Psychologist
CSW001980
GA
103TC2200X
Clinical Child & Adolescent Psychologist
CSW001980
GA
103TP2701X
Group Psychotherapy Psychologist
CSW001980
GA
104100000X
Social Worker
CSW001980
GA
1041C0700X
Clinical Social Worker
CSW001980
GA
1041S0200X
School Social Worker
CSW001980
GA
106H00000X
Marriage & Family Therapist
CSW001980
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80BBFTQ
—
GA
Enumeration date
03/13/2007
Last updated
03/31/2016
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