Healthcare Provider Details
I. General information
NPI: 1003775818
Provider Name (Legal Business Name): JUST NEW MATERIAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/17/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1756 CENTURY BLVD NE STE B
ATLANTA GA
30345-3389
US
IV. Provider business mailing address
1756 CENTURY BLVD NE STE B
ATLANTA GA
30345-3389
US
V. Phone/Fax
- Phone: 312-248-2531
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SADE
STOKES
Title or Position: OWNER
Credential: LCPC
Phone: 312-248-2531