Provider Demographics
NPI:1487700969
Name:ATLANTA NETWORK FOR INDIVIDUAL AND FAMILY THERAPY
Entity type:Organization
Organization Name:ATLANTA NETWORK FOR INDIVIDUAL AND FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAULS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:770-668-0350
Mailing Address - Street 1:1864 INDEPENDENCE SQ STE A
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5160
Mailing Address - Country:US
Mailing Address - Phone:770-668-0350
Mailing Address - Fax:770-668-0350
Practice Address - Street 1:1864 INDEPENDENCE SQ STE A
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-5160
Practice Address - Country:US
Practice Address - Phone:770-668-0350
Practice Address - Fax:770-668-0350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1508Medicare ID - Type Unspecified