Lockhart-terry Foundation Inc | |
3015 Rainbow Dr Suite 200 Decatur GA 30034-1668 | |
(678) 365-5611 | |
Not Available |
Full Name | Lockhart-terry Foundation Inc |
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Speciality | Community/behavioral Health |
Location | 3015 Rainbow Dr, Decatur, Georgia |
Authorized Official Name and Position | Tanya Evette Lockhart (ANGER MANAGEMNET SPECIALIST) |
Authorized Official Contact | 6783655611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lockhart-terry Foundation Inc 4969 Central Dr Apt C125 Stone Mountain GA 30083-2003 Ph: (678) 365-5611 | Lockhart-terry Foundation Inc 3015 Rainbow Dr Suite 200 Decatur GA 30034-1668 Ph: (678) 365-5611 |
NPI Number | 1154762508 |
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Provider Enumeration Date | 07/15/2013 |
Last Update Date | 07/15/2013 |
Identifier | Type | State | Issuer |
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1154762508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Georgia) | Primary |
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