| Emergence Treatment And Research | |
|
730 Peachtree St Ne Ste 570 Atlanta GA 30308-1244 | |
| (404) 491-1941 | |
| (404) 393-9624 |
| Full Name | Emergence Treatment And Research |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 730 Peachtree St Ne Ste 570, Atlanta, Georgia |
| Authorized Official Name and Position | Michael Anthony Burke (PRESIDENT) |
| Authorized Official Contact | 4043130506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergence Treatment And Research 730 Peachtree St Ne Ste 570 Atlanta GA 30308-1244 Ph: (404) 491-1941 | Emergence Treatment And Research 730 Peachtree St Ne Ste 570 Atlanta GA 30308-1244 Ph: (404) 491-1941 |
| NPI Number | 1649976747 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Medicare PECOS PAC ID | 1759756125 |
|---|---|
| Medicare Enrollment ID | O20230417002740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649976747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Michael A Burke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376649962 PECOS PAC ID: 7012933237 Enrollment ID: I20051020000396 |
| Provider Name | Brian Edward Barczak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104009398 PECOS PAC ID: 1052589421 Enrollment ID: I20160921002145 |
| Provider Name | Crystal M Lilavois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255067005 PECOS PAC ID: 8224401633 Enrollment ID: I20230306002806 |
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