| Heather Kotlerlcsw Mph Llc | |
|
215 Church St Ste 109 Decatur GA 30030-3330 | |
| (404) 798-7228 | |
| Not Available |
| Full Name | Heather Kotlerlcsw Mph Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 215 Church St Ste 109, Decatur, Georgia |
| Authorized Official Name and Position | Heather I Kotler (OFFICER) |
| Authorized Official Contact | 4047987228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Kotlerlcsw Mph Llc 215 Church St Ste 109 Decatur GA 30030-3330 Ph: (404) 798-7228 | Heather Kotlerlcsw Mph Llc 215 Church St Ste 109 Decatur GA 30030-3330 Ph: (404) 798-7228 |
| NPI Number | 1497214456 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 03/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497214456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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