| Village Autism Center Llc | |
|
4994 Lower Roswell Rd Ste 10 Marietta GA 30068-4332 | |
| (770) 565-3045 | |
| Not Available |
| Full Name | Village Autism Center Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 4994 Lower Roswell Rd Ste 10, Marietta, Georgia |
| Authorized Official Name and Position | Caitlin H Delfs (OWNER, EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4048402228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Autism Center Llc 4994 Lower Roswell Rd Ste 10 Marietta GA 30068-4332 Ph: (770) 565-3045 | Village Autism Center Llc 4994 Lower Roswell Rd Ste 10 Marietta GA 30068-4332 Ph: (770) 565-3045 |
| NPI Number | 1962914465 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 11/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962914465 | NPI | - | NPPES |
| 8402976406A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY003346 (Georgia) | Primary |
Mt. Bethel Shepherd Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4608 Lower Roswell Rd, Marietta, GA 30068 Phone: 678-571-5119 | |
Warnecke Professional Counseling, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2050 Roswell Rd, Marietta, GA 30062 Phone: 678-252-6115 Fax: 678-399-1678 | |
Powell Psychological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 E Piedmont Rd, Suite 200, Pmb 5, Marietta, GA 30062 Phone: 404-403-6177 Fax: 404-393-6460 | |
Prime Behavior Analysts, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 Powder Springs St, Suite 130, Marietta, GA 30064 Phone: 404-695-3596 Fax: 404-935-5335 | |
Divine Psychology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4343 Shallowford Rd Ste G3, Marietta, GA 30062 Phone: 678-626-7207 | |
Tolleson Counseling & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Powers Ferry Rd Se Bldg 9-350, Marietta, GA 30067 Phone: 470-684-0428 | |
Neurotherapy Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Powder Springs St Ste E31, Marietta, GA 30064 Phone: 470-217-7324 |