| 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 | 
|---|---|
| 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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