Healthcare Provider Details

I. General information

NPI: 1609783786
Provider Name (Legal Business Name): CECILIA LEAL PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 LENOX POINTE NE
ATLANTA GA
30324-3167
US

IV. Provider business mailing address

8735 DUNWOODY PL STE N
SANDY SPRINGS GA
30350-2995
US

V. Phone/Fax

Practice location:
  • Phone: 404-869-0040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CECILIA LEAL
Title or Position: THERAPIST/OWNER
Credential: LMSW
Phone: 404-594-4238