| Sandra Petrakis Childs Lcsw Lmft Llc | |
|
2900 Chamblee Tucker Rd Suite 210 Atlanta GA 30341-4100 | |
| (770) 458-8909 | |
| (678) 720-0993 |
| Full Name | Sandra Petrakis Childs Lcsw Lmft Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2900 Chamblee Tucker Rd, Atlanta, Georgia |
| Authorized Official Name and Position | Sandra Petrakis Childs (OWNER) |
| Authorized Official Contact | 7704588909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Petrakis Childs Lcsw Lmft Llc 1540 Park Creek Cv Ne Brookhaven GA 30319-2146 Ph: (770) 458-8909 | Sandra Petrakis Childs Lcsw Lmft Llc 2900 Chamblee Tucker Rd Suite 210 Atlanta GA 30341-4100 Ph: (770) 458-8909 |
| NPI Number | 1851770580 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851770580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | CSW000536 (Georgia) | Primary |
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