Healthcare Provider Details

I. General information

NPI: 1760524672
Provider Name (Legal Business Name): NORTH ATLANTA PSYCHIATRIC ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 09/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PEACHFORD RD SUITE R
ATLANTA GA
30338-6520
US

IV. Provider business mailing address

2150 PEACHFORD RD SUITE R
ATLANTA GA
30338-6520
US

V. Phone/Fax

Practice location:
  • Phone: 770-455-0261
  • Fax: 678-209-5300
Mailing address:
  • Phone: 770-455-0261
  • Fax: 678-209-5300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. NATALIE ELIZABETH NAYLOR
Title or Position: MANAGER
Credential:
Phone: 770-455-0261