Lavender Grove Psychotherapy
Lavender Grove Psychotherapy provides Clinical Social Worker services in Atlanta, Georgia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3755 Redwine RdAtlanta, GA 30344-5899
Phone: (404) 490-0031
Fax: (404) 490-0031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1407465354 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Extriara Gates — Psychotherapist/ Owner · (404) 490-0031 |
| NPI enumerated | July 27, 2020 |
| Last updated in NPPES | July 27, 2020 |
| Certification date | July 27, 2020 |
| Mailing address | 3755 Redwine Rd Apt 2216, Atlanta, GA 30344-5932 |
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