MEDICARE: ATLANTA CENTER FOR SPECIALIZED CARE

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	101YM0800X	Mental Health Counselor	3359	GA

General Provider Information

NPI Number	:	1336670348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTA CENTER FOR SPECIALIZED CARE

Provider Business Mailing Address
First Line	:	5095 WINDING BRANCH DR
Second Line	:
City	:	DUNWOODY
State	:	GA
Zip	:	30338-3901
Country	:	US
Telephone Number	:	770-354-1911
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 GLENLAKE PKWY
Second Line	:	700
City	:	ATLANTA
State	:	GA
Zip	:	30328-3448
Country	:	US
Telephone Number	:	404-838-8788
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. TATIANA KISIL MATTHEWS
Credential	:	LPC
Telephone Number	:	770-354-1911

Provider Enumeration Date	:	03/22/2017
Last Update Date	:	03/22/2017

Similar Medicare Providers

1265132930 — GEORGIA BEST HOMECARE LLC
Practice Location Address:

1 GLENLAKE PKWY STE 650&700
ATLANTA, GA
30328-3448

Practice Phone: 404-820-0848
Practice Fax:

1598875015 — SHELDON MICHAEL LINCENBERG MD
Practice Location Address:

1 GLENLAKE PKWY NE , SUITE 950
ATLANTA, GA
30328-3448

Practice Phone: 770-730-8222
Practice Fax: 678-527-1281

1407952393 — CAROL A. HARPE M.D.
Practice Location Address:

1 GLENLAKE PKWY NE , SUITE 1045
ATLANTA, GA
30328-3448

Practice Phone: 770-399-9299
Practice Fax: 770-399-5499

1114072188 — DR. ROBERT DANIEL OBST PSYD
Practice Location Address:

1 GLENLAKE PKWY NE , SUITE 1045
ATLANTA, GA
30328-3448

Practice Phone: 770-399-9299
Practice Fax: 770-399-5499

1588934046 — GEORGIA PLASTIC SURGERY
Practice Location Address:

1 GLENLAKE PKWY NE , SUITE 950
ATLANTA, GA
30328-3448

Practice Phone: 770-730-8222
Practice Fax: 678-527-1281

1285018978 — JUSTIN ALEXANDER LLC
Practice Location Address:

1 GLENLAKE PKWY , SUITE 700
ATLANTA, GA
30328-3448

Practice Phone: 205-427-4375
Practice Fax:

Directions to “ATLANTA CENTER FOR SPECIALIZED CARE ” 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.