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General NPI Number Information
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NPI Number | 1508399759
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Entity Type | Organization
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Legal Business Name | THE BERMAN CENTER
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 6425 POWERS FERRY RD STE 300
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City | ATLANTA
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State | GA
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Zip | 30339-2908
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Country | US
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Telephone | 770-336-7444
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Fax | 770-502-3744
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Provider Business Mailing Address
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Address Line | 6425 POWERS FERRY RD STE 300
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City | ATLANTA
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State | GA
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Zip | 30339-2908
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Country | US
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Telephone | 770-336-7444
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Fax | 770-502-3744
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Authorized Official
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Title or Position | CEO/CLINICAL DIRECTOR
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Name | ALYZA BERMAN MILRAD
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Credential | LCSW
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Telephone | 404-694-0204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 7995
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3842
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5560
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 014956
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License Number State | GA
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