Healthcare Provider Details

I. General information

NPI: 1326865650
Provider Name (Legal Business Name): JAMES S HULETT ED.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 INTERSTATE NORTH PKWY STE 400
ATLANTA GA
30328-4662
US

IV. Provider business mailing address

5500 INTERSTATE NORTH PKWY STE 400
ATLANTA GA
30328-4662
US

V. Phone/Fax

Practice location:
  • Phone: 678-249-0072
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: