| Unlimited Performance Corp | |
|
2872 Johnson Ferry Rd Ste 200 Marietta GA 30062-8305 | |
| (770) 361-7864 | |
| Not Available |
| Full Name | Unlimited Performance Corp |
|---|---|
| Speciality | Psychologist |
| Location | 2872 Johnson Ferry Rd, Marietta, Georgia |
| Authorized Official Name and Position | Samuel Alan Behrman (OWNER) |
| Authorized Official Contact | 7703617864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unlimited Performance Corp 3044 Bristlewood Ln Nw Marietta GA 30064-5111 Ph: () - | Unlimited Performance Corp 2872 Johnson Ferry Rd Ste 200 Marietta GA 30062-8305 Ph: (770) 361-7864 |
| NPI Number | 1235486903 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 08/13/2012 |
| Medicare PECOS PAC ID | 8022264696 |
|---|---|
| Medicare Enrollment ID | O20120814000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235486903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Samuel A Behrman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548219546 PECOS PAC ID: 3274583448 Enrollment ID: I20120814000546 |
| Provider Name | Silvia Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063969087 PECOS PAC ID: 9537492780 Enrollment ID: I20190604000677 |
| Provider Name | Ramakanth K Vemuluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922208222 PECOS PAC ID: 8729258223 Enrollment ID: I20191210000198 |
| Provider Name | Jessica Bosson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912510157 PECOS PAC ID: 3779950175 Enrollment ID: I20221027001123 |
| Provider Name | Cristina Lazaro Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508324542 PECOS PAC ID: 7810332244 Enrollment ID: I20240226001630 |
| Provider Name | Whitney M Rudd |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922623289 PECOS PAC ID: 3678919008 Enrollment ID: I20240307003745 |
| Provider Name | Kelly H Villarreal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750891933 PECOS PAC ID: 5092151225 Enrollment ID: I20240311002778 |
| Provider Name | Kirsten Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124789813 PECOS PAC ID: 0941648927 Enrollment ID: I20240410000898 |
| Provider Name | Tu Vo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053179259 PECOS PAC ID: 1254779234 Enrollment ID: I20240410001087 |
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