| East Atlanta Counseling Services, Inc. | |
|
3499 S Cobb Dr Se Ste 205 Smyrna GA 30080-4170 | |
| (404) 913-3623 | |
| Not Available |
| Full Name | East Atlanta Counseling Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3499 S Cobb Dr Se Ste 205, Smyrna, Georgia |
| Authorized Official Name and Position | Catherine Berry Moon (OWNER) |
| Authorized Official Contact | 4787473559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Atlanta Counseling Services, Inc. Po Box 170451 Atlanta GA 30317-0451 Ph: (404) 913-3623 | East Atlanta Counseling Services, Inc. 3499 S Cobb Dr Se Ste 205 Smyrna GA 30080-4170 Ph: (404) 913-3623 |
| NPI Number | 1124776588 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124776588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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