| Blancstone Psychotherapy | |
|
150 Prospect Pl Alpharetta GA 30005-5445 | |
| (770) 415-3442 | |
| Not Available |
| Full Name | Blancstone Psychotherapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 150 Prospect Pl, Alpharetta, Georgia |
| Authorized Official Name and Position | Tanya White (OWNER/PROVIDER) |
| Authorized Official Contact | 7704153442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blancstone Psychotherapy Po Box 4651 Alpharetta GA 30023-4651 Ph: (770) 415-3442 | Blancstone Psychotherapy 150 Prospect Pl Alpharetta GA 30005-5445 Ph: (770) 415-3442 |
| NPI Number | 1740648039 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740648039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC 005475 (Georgia) | Primary |
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