Organization
WAYSIDE MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY WAY LCSW (THERAPIST/ OWNER)
(215) 789-8100
Entity
Organization
Contact information
Practice address
3355 LENOX RD NE STE 750, ATLANTA, GA 30326-1353
(215) 789-8100
Mailing address
3355 LENOX RD NE STE 750, ATLANTA, GA 30326-1353
(215) 789-8100
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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