Organization
PSYCH CARE ATL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA PIHERA APRN (OWNER)
(770) 841-4440
Entity
Organization
Contact information
Practice address
315 W PONCE DE LEON AVE STE 546, DECATUR, GA 30030-2448
(404) 997-8043
(949) 757-8783
Mailing address
315 W PONCE DE LEON AVE STE 546, DECATUR, GA 30030-2448
(404) 997-8043
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/29/2024
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