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NPI Code Detail

MEDICARE: CHARNAT LLC

MEDICARE: CHARNAT LLC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1154995629
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARNAT LLC
Provider Business Mailing Address
First Line : 3911 MARY ELIZA TRCE NW STE 200
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1088
Country : US
Telephone Number : 678-631-9907
Fax Number : 678-701-7909
Provider Business Practice Location Address
First Line : 3911 MARY ELIZA TRCE NW STE 200
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1088
Country : US
Telephone Number : 678-631-9907
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHARLETT HARRIS
Credential : LPC
Telephone Number : 678-631-9907
Provider Enumeration Date : 05/18/2021
Last Update Date : 06/16/2026

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Directions to “CHARNAT LLC ” Practice Location

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