| 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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