| Smruti Desai | |
|
315 W Ponce De Leon Ave Ste 440 Decatur GA 30030-2449 | |
| (404) 323-3553 | |
| Not Available |
| Full Name | Smruti Desai |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 315 W Ponce De Leon Ave Ste 440, Decatur, Georgia |
| Authorized Official Name and Position | Smruti Desai (OWNER) |
| Authorized Official Contact | 4043233553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smruti Desai 2112 Berryhill Cir Se Smyrna GA 30082-4749 Ph: () - | Smruti Desai 315 W Ponce De Leon Ave Ste 440 Decatur GA 30030-2449 Ph: (404) 323-3553 |
| NPI Number | 1639690134 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 03/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639690134 | NPI | - | NPPES |
| 1164816146 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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