| Therapy Central Inc. | |
|
1954 Airport Rd Atlanta GA 30341-4956 | |
| (302) 526-4547 | |
| (848) 667-8981 |
| Full Name | Therapy Central Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1954 Airport Rd, Atlanta, Georgia |
| Authorized Official Name and Position | Yasir J. Ahmad (OWNER) |
| Authorized Official Contact | 3025264547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Central Inc. 79 Ogle Rd Old Tappan NJ 07675-7026 Ph: (302) 526-4547 | Therapy Central Inc. 1954 Airport Rd Atlanta GA 30341-4956 Ph: (302) 526-4547 |
| NPI Number | 1710638077 |
|---|---|
| Provider Enumeration Date | 01/18/2022 |
| Last Update Date | 01/18/2022 |
| Certification Date | 01/18/2022 |
| Medicare PECOS PAC ID | 4981087236 |
|---|---|
| Medicare Enrollment ID | O20220818002068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710638077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Veronda Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730818592 PECOS PAC ID: 6800279159 Enrollment ID: I20220818002023 |
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