| Purpose Community Therapeutic Services, Llc | |
|
340 Boulevard Ne Suite 611 Atlanta GA 30312-1273 | |
| (770) 280-7288 | |
| (770) 983-6098 |
| Full Name | Purpose Community Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 340 Boulevard Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Chantay Golson (OWNER) |
| Authorized Official Contact | 7702807288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purpose Community Therapeutic Services, Llc 242 Fairfield Rd Villa Rica GA 30180-3804 Ph: (770) 280-7288 | Purpose Community Therapeutic Services, Llc 340 Boulevard Ne Suite 611 Atlanta GA 30312-1273 Ph: (770) 280-7288 |
| NPI Number | 1063751014 |
|---|---|
| Provider Enumeration Date | 02/12/2013 |
| Last Update Date | 07/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063751014 | NPI | - | NPPES |
| 003126621A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Intentional Hearts, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Northside Pkwy Nw, Bldg 1, Ste 200, Atlanta, GA 30327 Phone: 770-623-3331 | |
Nancy Gup And Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2885 Payton Rd Ne, Atlanta, GA 30345 Phone: 404-634-0014 Fax: 404-728-0043 | |
Atlanta Internal Medicine And Psychiatric Care Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3915 Cascade Rd Sw Ste 360, Atlanta, GA 30331 Phone: 678-973-2370 Fax: 470-819-4995 | |
Advanced Neuropsychiatric Health Professionals Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 Peachford Rd Ste 1, Atlanta, GA 30338 Phone: 404-918-8118 | |
Stratford Medical Group, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3379 Peachtree Rd Ne, Suite 555, Atlanta, GA 30326 Phone: 404-974-9575 | |
Flourishing Minds Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2751 Buford Hwy Ne, 700, Atlanta, GA 30324 Phone: 678-322-7935 Fax: 678-922-2149 | |
Chris 180, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Martin Luther King Dr Sw, Atlanta, GA 30331 Phone: 404-486-9034 Fax: 404-835-9350 |