| Atlanta Child And Family Therapy, Llc | |
|
2144 Kodiak Dr Ne Atlanta GA 30345-4150 | |
| (770) 756-6303 | |
| Not Available |
| Full Name | Atlanta Child And Family Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2144 Kodiak Dr Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Tayisiya Sanders (OWNER) |
| Authorized Official Contact | 7707566303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Child And Family Therapy, Llc 2144 Kodiak Dr Ne Atlanta GA 30345-4150 Ph: (770) 756-6303 | Atlanta Child And Family Therapy, Llc 2144 Kodiak Dr Ne Atlanta GA 30345-4150 Ph: (770) 756-6303 |
| NPI Number | 1427666817 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 07/21/2020 |
| Certification Date | 07/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427666817 | NPI | - | NPPES |
| 1982036539 | Other | GA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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