Dive Therapy & Consulting Llc
Psychologist in Atlanta, GA(View on Map)
Legal Business Name
Dive Therapy & Consulting Llc
NPI Number
1043045941
NPI Type
Organization
Enumeration Date
09/03/2024
Specialties
(Taxonomies)Code
103T00000X
1041C0700X
101YM0800X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
1700 NORTHSIDE DR NW STE A7, PMB 1704
1055 HOWELL MILL RD NW FL 8
City
Atlanta
Atlanta
State
GA
GA
Postal Code
30318-2695
30318-5557
Country
US
US
Telephone Number
(404) 800-1998
(404) 800-1998
Authorized Official
Name
Dr. Speshal Gautier
Title or Position
OWNER
Telephone Number
(404) 800-1998
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/12/2024
Provider Address
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