Provider Demographics
NPI:1487239604
Name:ATLANTA CBT, LLC
Entity type:Organization
Organization Name:ATLANTA CBT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:VARNEY
Authorized Official - Last Name:FARRELL-CARNAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:404-710-6605
Mailing Address - Street 1:834 INMAN VILLAGE PKWY NE STE 220
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-5502
Mailing Address - Country:US
Mailing Address - Phone:404-710-6605
Mailing Address - Fax:
Practice Address - Street 1:834 INMAN VILLAGE PKWY NE STE 220
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-5502
Practice Address - Country:US
Practice Address - Phone:404-710-6605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health