Healthcare Provider Details

I. General information

NPI: 1083559231
Provider Name (Legal Business Name): CLINICAL & CONSULTING SERVICES OF ATLANTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 PEACHTREE ST NW STE 335
ATLANTA GA
30309-2508
US

IV. Provider business mailing address

1800 PEACHTREE ST NW STE 335
ATLANTA GA
30309-2508
US

V. Phone/Fax

Practice location:
  • Phone: 404-948-2426
  • Fax: 404-948-2427
Mailing address:
  • Phone: 404-948-2426
  • Fax: 404-948-2427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TROY AVIS JAMES
Title or Position: OWNER/CEO
Credential: PHD, MSCP
Phone: 404-948-2426