| Village Health Initiative | |
|
386 Pine St Ne Atlanta GA 30308-2532 | |
| (678) 480-8302 | |
| Not Available |
| Full Name | Village Health Initiative |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 386 Pine St Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Erlese M Caruth (DIRECTOR) |
| Authorized Official Contact | 6784808302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Health Initiative 386 Pine St Ne Atlanta GA 30308-2532 Ph: () - | Village Health Initiative 386 Pine St Ne Atlanta GA 30308-2532 Ph: (678) 480-8302 |
| NPI Number | 1245696723 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 01/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245696723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC006820 (Georgia) | Primary |
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