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NPI Code Detail

MEDICARE: THE BERMAN CENTER

MEDICARE: THE BERMAN CENTER
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
1103TC0700XClinical Psychologist7995MA
21041C0700XClinical Social Worker3842GA
31041C0700XClinical Social Worker5560GA
4225700000XMassage Therapist
52084P0800XPsychiatry Physician014956GA

General Provider Information

NPI Number : 1508399759
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE BERMAN CENTER
Provider Business Mailing Address
First Line : 6425 POWERS FERRY RD STE 300
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2908
Country : US
Telephone Number : 770-336-7444
Fax Number : 770-502-3744
Provider Business Practice Location Address
First Line : 6425 POWERS FERRY RD STE 300
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2908
Country : US
Telephone Number : 770-336-7444
Fax Number : 770-502-3744
Authorized Official
Title or Position : CEO/CLINICAL DIRECTOR
Name : ALYZA BERMAN MILRAD
Credential : LCSW
Telephone Number : 404-694-0204
Provider Enumeration Date : 04/05/2017
Last Update Date : 08/30/2023

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Directions to “THE BERMAN CENTER ” Practice Location

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