| Catalyst For Change Atlanta, Llc | |
|
2801 Buford Hwy Ne Ste 501 Brookhaven GA 30329-2137 | |
| (678) 748-0128 | |
| Not Available |
| Full Name | Catalyst For Change Atlanta, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2801 Buford Hwy Ne Ste 501, Brookhaven, Georgia |
| Authorized Official Name and Position | Mikaela N Heard (OWNER) |
| Authorized Official Contact | 6787480128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst For Change Atlanta, Llc 107 Shadow Lake Dr Conyers GA 30094-4129 Ph: (770) 771-9000 | Catalyst For Change Atlanta, Llc 2801 Buford Hwy Ne Ste 501 Brookhaven GA 30329-2137 Ph: (678) 748-0128 |
| NPI Number | 1265941066 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 10/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265941066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LPC007304 (Georgia) | Primary |
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