Organization
ATLANTA CENTER FOR FAMILY PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAUX HALL (BILLING SPECIALIST)
(678) 513-0313
Entity
Organization
Contact information
Practice address
3325 PADDOCKS PKWY STE 415, SUWANEE, GA 30024-6059
(404) 216-0336
(678) 513-1188
Mailing address
PO BOX 720535, ATLANTA, GA 30358-2535
(404) 216-0336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001010
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184658965
INDIVIDUAL NPI
GA
01
—
1811298284
GROUP NPI
GA
Enumeration date
11/16/2010
Last updated
06/05/2023
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