| Greater Atlanta Family Counseling, Llc | |
|
165 Dekalb Industrial Way Ste G Decatur GA 30030-2230 | |
| (770) 421-5271 | |
| (770) 995-1959 |
| Full Name | Greater Atlanta Family Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 165 Dekalb Industrial Way, Decatur, Georgia |
| Authorized Official Name and Position | William Smith (LCSW/OWNER) |
| Authorized Official Contact | 7703397667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Atlanta Family Counseling, Llc 165 Dekalb Industrial Way Ste G Decatur GA 30030-2230 Ph: (770) 421-5271 | Greater Atlanta Family Counseling, Llc 165 Dekalb Industrial Way Ste G Decatur GA 30030-2230 Ph: (770) 421-5271 |
| NPI Number | 1629431390 |
|---|---|
| Provider Enumeration Date | 03/31/2016 |
| Last Update Date | 03/31/2016 |
| Medicare PECOS PAC ID | 7315226693 |
|---|---|
| Medicare Enrollment ID | O20161108002577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629431390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005719 (Georgia) | Primary |
| Provider Name | William Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821368994 PECOS PAC ID: 8325331770 Enrollment ID: I20160722002262 |
| Provider Name | Keeley Danielle Kooken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265900070 PECOS PAC ID: 8426448325 Enrollment ID: I20211208002983 |
| Provider Name | Sandra Fraro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669180683 PECOS PAC ID: 0143682377 Enrollment ID: I20230818002587 |
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