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General NPI Number Information
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NPI Number | 1245727510
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH SERVICES OF ATLANTA, LLC
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Dates
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Enumeration Date | 04/22/2018
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 3295 RIVER EXCHANGE DR STE 568
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City | NORCROSS
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State | GA
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Zip | 30092-4241
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Country | US
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Telephone | 404-410-6317
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Fax | 404-745-0567
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Provider Business Mailing Address
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Address Line | PO BOX 303
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City | NORCROSS
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State | GA
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Zip | 30091-0303
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Country | US
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Telephone | 404-410-6317
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Fax | 404-745-0567
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Authorized Official
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Title or Position | CEO
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Name | DR. ANTHEA M JOHNSON
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Credential | LPC
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Telephone | 501-213-5220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC010022
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License Number State | GA
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