Healthcare Provider Details

I. General information

NPI: 1699119255
Provider Name (Legal Business Name): ATLANTA QUALITY CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1807 HONEY CREEK CMNS SE STE A&B
CONYERS GA
30013-5837
US

IV. Provider business mailing address

1807 HONEY CREEK CMNS SE STE A&B
CONYERS GA
30013-5837
US

V. Phone/Fax

Practice location:
  • Phone: 678-374-2959
  • Fax: 678-224-8970
Mailing address:
  • Phone: 678-374-2959
  • Fax: 678-224-8970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberCSW004129
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ANTORINETTE BROWN
Title or Position: CEO/CO-OWNER
Credential: MBA
Phone: 706-522-7388