Atlanta Innovative Counseling Center, Llc | |
4045 Orchard Rd Se Ste 110 Smyrna GA 30080-4904 | |
(770) 293-1950 | |
Not Available |
Full Name | Atlanta Innovative Counseling Center, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 4045 Orchard Rd Se Ste 110, Smyrna, Georgia |
Authorized Official Name and Position | Christi Bartolomucci (OWNER) |
Authorized Official Contact | 4048083370 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Atlanta Innovative Counseling Center, Llc 4045 Orchard Rd Se Ste 110 Smyrna GA 30080-4904 Ph: (770) 293-1950 | Atlanta Innovative Counseling Center, Llc 4045 Orchard Rd Se Ste 110 Smyrna GA 30080-4904 Ph: (770) 293-1950 |
NPI Number | 1023675865 |
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Provider Enumeration Date | 05/28/2019 |
Last Update Date | 05/28/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023675865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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