Healthcare Provider Details

I. General information

NPI: 1477478253
Provider Name (Legal Business Name): JULIA R CONLEY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 POWERS FERRY RD SE STE 300
MARIETTA GA
30067-5491
US

IV. Provider business mailing address

355 ADAMS ST
DECATUR GA
30030-5205
US

V. Phone/Fax

Practice location:
  • Phone: 404-590-8068
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIA CONLEY
Title or Position: ASSOCIATE THERAPIST
Credential:
Phone: 404-769-4830