Healthcare Provider Details

I. General information

NPI: 1164055455
Provider Name (Legal Business Name): NEW PERSPECTIVES PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2020
Last Update Date: 10/19/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N CLARENDON AVE STE B
AVONDALE ESTATES GA
30002-1165
US

IV. Provider business mailing address

10 N CLARENDON AVE STE B
AVONDALE ESTATES GA
30002-1165
US

V. Phone/Fax

Practice location:
  • Phone: 404-689-5599
  • Fax:
Mailing address:
  • Phone: 404-689-5599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAUREN CANGIANO SHEMAIN
Title or Position: OWNER
Credential: LCSW
Phone: 404-689-5599