| Atlanta Psychotherapy, Llc | |
|
175 Country Club Dr Bldg 200e Stockbridge GA 30281-7381 | |
| (770) 389-1925 | |
| (770) 389-3077 |
| Full Name | Atlanta Psychotherapy, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 175 Country Club Dr Bldg 200e, Stockbridge, Georgia |
| Authorized Official Name and Position | Dorothy D Watts (OWNER/CEO) |
| Authorized Official Contact | 7703891925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Psychotherapy, Llc 175 Country Club Dr Bldg 200e Stockbridge GA 30281-7381 Ph: (770) 389-1925 | Atlanta Psychotherapy, Llc 175 Country Club Dr Bldg 200e Stockbridge GA 30281-7381 Ph: (770) 389-1925 |
| NPI Number | 1114106309 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 10/24/2007 |
| Medicare PECOS PAC ID | 4385784206 |
|---|---|
| Medicare Enrollment ID | O20091228000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114106309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW002841 (Georgia) | Primary |
| Provider Name | Walter J Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578617254 PECOS PAC ID: 3971490327 Enrollment ID: I20040302000090 |
| Provider Name | Dewitt C Alfred |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659313955 PECOS PAC ID: 7618863911 Enrollment ID: I20040415000139 |
| Provider Name | Devon Briggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649259714 PECOS PAC ID: 9436179769 Enrollment ID: I20051201000706 |
| Provider Name | Dorothy D Watts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750461497 PECOS PAC ID: 6204976129 Enrollment ID: I20091228000011 |
| Provider Name | Douglas Cooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255495131 PECOS PAC ID: 2062303498 Enrollment ID: I20110509000721 |
| Provider Name | Naureen Munawar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245420082 PECOS PAC ID: 9931363413 Enrollment ID: I20150721002943 |
| Provider Name | Karen B Stevenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609968825 PECOS PAC ID: 0345256632 Enrollment ID: I20151202001102 |
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