MEDICARE: ANGELIQUE L BURKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC005476	GA

General Provider Information

NPI Number	:	1023575552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELIQUE L BURKE

Provider Business Mailing Address
First Line	:	1444 HAWTHORNE WAY
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-1749
Country	:	US
Telephone Number	:	404-849-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3720 CHAMBLEE DUNWOODY RD
Second Line	:
City	:	CHAMBLEE
State	:	GA
Zip	:	30341-2064
Country	:	US
Telephone Number	:	404-849-9100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2019
Last Update Date	:	02/20/2019

Similar Medicare Providers

1780548982 — MARIANNA ELISABETH HILES APC
Practice Location Address:

3720 CHAMBLEE DUNWOODY RD STE D2
ATLANTA, GA
30341-2064

Practice Phone: 678-802-9355
Practice Fax:

1760715080 — CH'I CHIROPRACTIC WELLNESS CENTER, LLC
Practice Location Address:

3720 CHAMBLEE DUNWOODY RD STE C&D
CHAMBLEE, GA
30341-2064

Practice Phone: 404-593-5798
Practice Fax: 678-799-7267

1356882922 — KAREN LILL LPC, ATR, ACS, NCC
Practice Location Address:

3720 CHAMBLEE DUNWOODY RD STE D2
CHAMBLEE, GA
30341-2064

Practice Phone: 678-744-6750
Practice Fax:

1023533106 — MODERN PATH. LLC
Practice Location Address:

3720 CHAMBLEE DUNWOODY RD STE D2
ATLANTA, GA
30341-2064

Practice Phone: 678-802-9355
Practice Fax:

1366933129 — NICOLE M BAILEY LCSW
Practice Location Address:

3720 CHAMBLEE DUNWOODY RD
CHAMBLEE, GA
30341-2064

Practice Phone: 404-468-2274
Practice Fax:

1427613314 — DREW ISAAC GALE THRASHER LPC
Practice Location Address:

3720 CHAMBLEE DUNWOODY RD STE D2
CHAMBLEE, GA
30341-2064

Practice Phone: 678-802-9355
Practice Fax:

Directions to “ ANGELIQUE L BURKE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.