Organization
ATLANTA COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LYNN WEBB (OFFICE MANAGER)
(770) 396-0232
Entity
Organization
Contact information
Practice address
6111-C PEACHTREE DUNWOODY ROAD, ATLANTA, GA 30328
(770) 396-0232
(770) 399-0007
Mailing address
6111-C PEACHTREE DUNWOODY ROAD, ATLANTA, GA 30328
(770) 396-0232
(770) 399-0007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP1447
MEDICARE GROUP #
GA
Enumeration date
04/18/2008
Last updated
04/18/2008
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