Healthcare Provider Details

I. General information

NPI: 1992510309
Provider Name (Legal Business Name): THE PARENT RESET
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 BERNARD ST NW
ATLANTA GA
30314-2402
US

IV. Provider business mailing address

1314 BERNARD ST NW
ATLANTA GA
30314-2402
US

V. Phone/Fax

Practice location:
  • Phone: 404-545-6418
  • Fax:
Mailing address:
  • Phone: 404-545-6418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY ASKEW
Title or Position: PEER SPECIALIST-PARENT
Credential: CPS-P
Phone: 404-545-6418