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GEORGIA THERAPY ASSOCIATES NPI 1750414439


NPI Information

NPI: 1750414439
Provider Name: GEORGIA THERAPY ASSOCIATES
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
2797 CAMPBELLTON RD SW
SUITE C-3
ATLANTA, GA
ZIP 30311
Phone: (404) 349-6655
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GEORGIA THERAPY ASSOCIATES is a methadone clinic center in Atlanta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. GEORGIA THERAPY ASSOCIATES NPI is 1750414439. The provider is registered as an organization entity type.

The provider's business location address is:

2797 CAMPBELLTON RD SW
SUITE C-3
ATLANTA, GA
ZIP 30311-455
Phone: (404) 349-6655
Fax: (404) 349-0033

The provider's authorized official is Terry L Willis .
The authorized official title is Chief Executive Officer and has the following contact phone number (404) 349-6655.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneNTP001009GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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