Neurotherapy Associates, Llc | |
540 Powder Springs St Ste E31 Marietta GA 30064-3563 | |
(470) 217-7324 | |
Not Available |
Full Name | Neurotherapy Associates, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 540 Powder Springs St Ste E31, Marietta, Georgia |
Authorized Official Name and Position | Alexander Kohl (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 4702177347 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Neurotherapy Associates, Llc 540 Powder Springs St Ste E31 Marietta GA 30064-3563 Ph: (470) 217-7324 | Neurotherapy Associates, Llc 540 Powder Springs St Ste E31 Marietta GA 30064-3563 Ph: (470) 217-7324 |
NPI Number | 1013410612 |
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Provider Enumeration Date | 03/10/2018 |
Last Update Date | 03/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013410612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 009495 (Georgia) | Primary |
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