|
| |
|
3807 Clairmont Rd Chamblee GA 30341-4911 | |
| (770) 457-5867 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3807 Clairmont Rd, Chamblee, Georgia |
| Authorized Official Name and Position | Fabio Bruno Van Der Merwe (COO) |
| Authorized Official Contact | 4042943836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
445 Winn Way Decatur GA 30030-1707 Ph: (404) 508-7796 | 3807 Clairmont Rd Chamblee GA 30341-4911 Ph: (770) 457-5867 |
| NPI Number | 1982813309 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982813309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 000692 (Georgia) | Primary |
Restore Behaviroal Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1954 Airport Rd # 104, Chamblee, GA 30341 Phone: 770-899-8703 | |
This Is Healing, Lllp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3604 Chamblee Tucker Rd, Chamblee, GA 30341 Phone: 740-561-3041 | |
Thomas Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 Phone: 404-587-8707 Fax: 866-202-3087 | |
Synergy Counseling & Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3996 Clairmont Rd, Chamblee, GA 30341 Phone: 404-994-5219 |