NPI 1699578047 · live from the CMS NPI Registry
Cheryl Andrea Jackson Bourne
Marriage & Family Therapist in Atlanta, GA. National Provider Identifier 1699578047, active.
NPI record
| NPI | 1699578047 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 3072 Early St Nw Ste 200, Atlanta, GA 30305 |
| Practice phone | 404-865-3929 |
| Mailing address | 2862 Livsey Woods Dr, Tucker, GA 30084 |
| Enumerated | March 31, 2025 |
| Last updated | March 31, 2025 |
| Sole proprietor | No |
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.