HEATHER KOTLERLCSW MPH LLC NPI 1497214456

NPI Information

NPI: 1497214456
Provider Name: HEATHER KOTLERLCSW MPH LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
215 CHURCH ST STE 109
DECATUR, GA
ZIP 30030
Phone: (404) 798-7228
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HEATHER KOTLERLCSW MPH LLC is an adult mental health clinic center in Decatur, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. HEATHER KOTLERLCSW MPH LLC NPI is 1497214456. The provider is registered as an organization entity type.

The provider's business location address is:

215 CHURCH ST STE 109
DECATUR, GA
ZIP 30030-330
Phone: (404) 798-7228

The provider's authorized official is Heather I Kotler .
The authorized official title is Officer and has the following contact phone number (404) 798-7228.

The enumeration date for this NPI number is 3/18/2019 and was last updated on 3/18/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No

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

NPI Synchronization or Removal

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