Organization
AVERY PARTNERS, INC
Active
Other names
Avery Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J MOORE (CEO)
(770) 642-6100
Entity
Organization
Contact information
Practice address
1805 OLD ALABAMA RD, SUITE 200, ROSWELL, GA 30076-2230
(770) 642-6100
(678) 367-4603
Mailing address
1805 OLD ALABAMA ROAD, SUITE 200, ROSWELL, GA 30076-2230
(770) 642-6100
(678) 367-4603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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