Healthcare Provider Details

I. General information

NPI: 1972803021
Provider Name (Legal Business Name): GARRETT CONSULTING & CASE MGMT SVC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3013 RAINBOW DR. SUITE 112E
DECATUR GA
30034-1644
US

IV. Provider business mailing address

3217 COLUMBIA WOODS DR
DECATUR GA
30032-5843
US

V. Phone/Fax

Practice location:
  • Phone: 404-455-2907
  • Fax: 404-286-5683
Mailing address:
  • Phone: 404-455-2907
  • Fax: 404-286-5683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. WANDA GARRETT
Title or Position: DIRECTOR/OWNER
Credential: MS
Phone: 404-455-2907