MEDICARE: WHOLE SELF PSYCHIATRY

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1265314454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE SELF PSYCHIATRY

Provider Business Mailing Address
First Line	:	931 PONCE DE LEON AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-4211
Country	:	US
Telephone Number	:	678-379-9576
Fax Number	:

Provider Business Practice Location Address
First Line	:	931 PONCE DE LEON AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-4211
Country	:	US
Telephone Number	:	678-379-9576
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANDREA LEAH CROWELL
Credential	:	MD
Telephone Number	:	678-984-7373

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	09/09/2025

Similar Medicare Providers

1386285914 — SARA ELIZABETH DOVER PA-C
Practice Location Address:

931 PONCE DE LEON AVE NE
ATLANTA, GA
30306-4211

Practice Phone: 404-376-5574
Practice Fax:

1386630358 — THOMAS W SCHOBORG M.D.
Practice Location Address:

285 BOULEVARD NE STE 510
ATLANTA, GA
30312-4211

Practice Phone: 404-524-5082
Practice Fax: 404-521-2977

1083719348 — DR. NOMI LISA TRAUB M.D.
Practice Location Address:

285 BOULEVARD NE STE 525
ATLANTA, GA
30312-4211

Practice Phone: 404-265-1044
Practice Fax: 404-265-1047

1073731428 — DR. THOMAS RAMDHANIE LALL M.D.
Practice Location Address:

285 BOULEVARD NE STE 525
ATLANTA, GA
30312-4211

Practice Phone: 404-265-1044
Practice Fax:

1780925925 — BARBARA HILL
Practice Location Address:

288 FAIRBURN RD SW
ATLANTA, GA
30331-4211

Practice Phone: 404-553-1487
Practice Fax:

1538401823 — DR. JONAS ALVIN SHULMAN M.D.
Practice Location Address:

1210 THE BY WAY NE
ATLANTA, GA
30306-2612

Practice Phone: 404-377-2293
Practice Fax:

Directions to “WHOLE SELF PSYCHIATRY ” 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 © 2007-2026 (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.