Healthcare Provider Details

I. General information

NPI: 1184753543
Provider Name (Legal Business Name): PERSON TO PERSON CONSULTING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2007
Last Update Date: 04/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 ATLANTA ST STE 2B
MCDONOUGH GA
30253-2162
US

IV. Provider business mailing address

35 ATLANTA ST STE 2B
MCDONOUGH GA
30253-2162
US

V. Phone/Fax

Practice location:
  • Phone: 770-898-1155
  • Fax: 770-898-8335
Mailing address:
  • Phone: 770-898-1155
  • Fax: 770-898-8335

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 Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number075-491-D
License Number StateGA

VIII. Authorized Official

Name: KELLY CAMARATA WARNER
Title or Position: CLINICAL DIRECTOR/EXECUTIVE DIRECTO
Credential: LPC
Phone: 770-898-1155