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EMERGING SELF PSYCHOTHERAPY INC. NPI 1629107933


NPI Information

NPI: 1629107933
Provider Name: EMERGING SELF PSYCHOTHERAPY, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2801 BUFORD HWY NE
SUITE 505
ATLANTA, GA
ZIP 30329
Phone: (770) 747-0478
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EMERGING SELF PSYCHOTHERAPY, INC. is a professional counselor in Atlanta, GA. EMERGING SELF PSYCHOTHERAPY, INC. NPI is 1629107933. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2801 BUFORD HWY NE
SUITE 505
ATLANTA, GA
ZIP 30329-149
Phone: (770) 747-0478
Fax: (404) 315-9235

The provider's authorized official is Jeffery Scott Matthews .
The authorized official title is President and has the following contact phone number (770) 747-0478.

The enumeration date for this NPI number is 3/4/2007 and was last updated on 8/22/2020.


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
1101YP2500XCounselorProfessionalLPC 003491GEORGIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.