| Inner Changellc, Counseling And Education Center | |
|
3600 Dekalb Technology Pkwy Suite140 Atlanta GA 30340-3612 | |
| (404) 989-3114 | |
| (470) 282-5102 |
| Full Name | Inner Changellc, Counseling And Education Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3600 Dekalb Technology Pkwy, Atlanta, Georgia |
| Authorized Official Name and Position | Sherri Anne Gatson (CO-FOUNDER) |
| Authorized Official Contact | 4049893114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Changellc, Counseling And Education Center 3600 Dekalb Technology Pkwy Suite140 Atlanta GA 30340-3612 Ph: (404) 989-3114 | Inner Changellc, Counseling And Education Center 3600 Dekalb Technology Pkwy Suite140 Atlanta GA 30340-3612 Ph: (404) 989-3114 |
| NPI Number | 1184081564 |
|---|---|
| Provider Enumeration Date | 01/15/2016 |
| Last Update Date | 01/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184081564 | NPI | - | NPPES |
| 003136433A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW001981 (Georgia) | Primary |
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