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JILL ELIZABETH GRESHAM RBT NPI 1790271633


NPI Information

NPI: 1790271633
Provider Name: JILL ELIZABETH GRESHAM, RBT
Classification: Clinic/Center - 261QM0855X
Entity Type: Individual

Specialization: Adolescent and Children Mental Health

Address:
750 HAMMOND DR STE 100
ATLANTA, GA
ZIP 30328
Phone: (678) 753-5598
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Jill Elizabeth Gresham, RBT is an adolescent and children mental health clinic center in Atlanta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. Jill Elizabeth Gresham, RBT NPI is 1790271633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

750 HAMMOND DR STE 100
ATLANTA, GA
ZIP 30328-532
Phone: (678) 753-5598

The enumeration date for this NPI number is 7/3/2018 and was last updated on 7/3/2018.


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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthRBT-16-20925GEORGIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.