| Lifegate Counesling Center @ Peachtree, Inc. | |
|
3434 Roswell Rd Nw Atlanta GA 30305-1202 | |
| (404) 842-3150 | |
| (404) 842-3162 |
| Full Name | Lifegate Counesling Center @ Peachtree, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3434 Roswell Rd Nw, Atlanta, Georgia |
| Authorized Official Name and Position | Loren Todd Sandel (EXECUTIVE DIRECOTR) |
| Authorized Official Contact | 4048423150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifegate Counesling Center @ Peachtree, Inc. 3434 Roswell Rd Nw Atlanta GA 30305-1202 Ph: (404) 842-3150 | Lifegate Counesling Center @ Peachtree, Inc. 3434 Roswell Rd Nw Atlanta GA 30305-1202 Ph: (404) 842-3150 |
| NPI Number | 1326211681 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326211681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW002524 (Georgia) | Primary |
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