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INNER CHANGELLC COUNSELING AND EDUCATION CENTER NPI 1184081564


NPI Information

NPI: 1184081564
Provider Name: INNER CHANGELLC, COUNSELING AND EDUCATION CENTER
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
3600 DEKALB TECHNOLOGY PKWY
SUITE140
ATLANTA, GA
ZIP 30340
Phone: (404) 989-3114
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INNER CHANGELLC, COUNSELING AND EDUCATION CENTER is a clinical social worker in Atlanta, GA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. INNER CHANGELLC, COUNSELING AND EDUCATION CENTER NPI is 1184081564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3600 DEKALB TECHNOLOGY PKWY
SUITE140
ATLANTA, GA
ZIP 30340-612
Phone: (404) 989-3114
Fax: (470) 282-5102

The provider's authorized official is Sherri Anne Gatson .
The authorized official title is Co-founder and has the following contact phone number (404) 989-3114.

The enumeration date for this NPI number is 1/15/2016 and was last updated on 1/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalCSW001981GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12021803785MEDICARE PINGEORGIA
2003136433AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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