| NPI | 1215578943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMAN SUZANNE CLARK Psychologist/Licensed Counselor 678-215-7236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TF0200X Psychologist, Forensic | |
| 103TH0004X Psychologist, Health | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TS0200X Psychologist, School | |
| 251S00000X Community/Behavioral Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2021-08-11 |