| Psychotherapy Collective Of Atlanta Llc | |
|
1445 Woodmont Ln Nw Ste 4962 Atlanta GA 30318-2866 | |
| (770) 837-4620 | |
| Not Available |
| Full Name | Psychotherapy Collective Of Atlanta Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1445 Woodmont Ln Nw Ste 4962, Atlanta, Georgia |
| Authorized Official Name and Position | Alex Kyle Allen (ORGANIZER) |
| Authorized Official Contact | 7708374620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Collective Of Atlanta Llc 1445 Woodmont Ln Nw Ste 4962 Atlanta GA 30318-2866 Ph: (770) 837-4620 | Psychotherapy Collective Of Atlanta Llc 1445 Woodmont Ln Nw Ste 4962 Atlanta GA 30318-2866 Ph: (770) 837-4620 |
| NPI Number | 1740067065 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740067065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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