NPI 1154442903 · live from the CMS NPI Registry
Atlanta Center For Eating Disorders
Psychologist in Atlanta, GA. National Provider Identifier 1154442903, active.
NPI record
| NPI | 1154442903 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 4536 Barclay Drive, Suite A, Atlanta, GA 30338 |
| Practice phone | 770-458-8711 |
| Enumerated | April 2, 2007 |
| Last updated | March 5, 2012 |
| Authorized official | Linda Buchanan, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Counselor, Professional | 101YP2500X | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Clinical | 103TC0700X | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — |
| Psychologist, Family | 103TF0000X | — |
| Psychologist, Group Psychotherapy | 103TP2701X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.