Organization
AURORA COUNSELING & PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BELEN T GUTTER (OWNER/ LICENSED PSYCHOLOGIST)
(404) 423-5775
Entity
Organization
Contact information
Practice address
315 W PONCE DE LEON AVE, SUITE 480, DECATUR, GA 30030-2400
(404) 423-5775
Mailing address
PO BOX 251, DECATUR, GA 30031-0251
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2745
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161669152B
MEDICARE
GA
Enumeration date
12/08/2008
Last updated
12/08/2008
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