Healthcare Provider Details

I. General information

NPI: 1396664975
Provider Name (Legal Business Name): JOSHUA B SAUNDERS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 PEACHTREE ST NE
ATLANTA GA
30309-3209
US

IV. Provider business mailing address

51 WHITEFOORD AVE NE
ATLANTA GA
30307-2801
US

V. Phone/Fax

Practice location:
  • Phone: 404-228-7777
  • Fax:
Mailing address:
  • Phone: 404-228-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC011238
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: