NPI 1124804455 · live from the CMS NPI Registry
Anthos Integrative Psychotherapy, LLC
Marriage & Family Therapist in Atlanta, GA. National Provider Identifier 1124804455, active.
NPI record
| NPI | 1124804455 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 4780 Ashford Dunwoody Rd Ste 540195, Atlanta, GA 30338 |
| Practice phone | 334-707-9338 |
| Enumerated | September 4, 2023 |
| Last updated | September 4, 2023 |
| Authorized official | Anna Koullas, Owner/Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.