Healthcare Provider Details

I. General information

NPI: 1043114945
Provider Name (Legal Business Name): SOPHIE GERN INTEGRATIVE PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 ARMOUR DR NE
ATLANTA GA
30324-3973
US

IV. Provider business mailing address

199 ARMOUR DR NE
ATLANTA GA
30324-3973
US

V. Phone/Fax

Practice location:
  • Phone: 470-563-7518
  • Fax:
Mailing address:
  • Phone: 470-563-7518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: SOPHIE GERN
Title or Position: THERAPIST
Credential: LMSW
Phone: 470-563-7518