Provider Demographics
NPI:1093342354
Name:GEETA AATRE PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:GEETA AATRE PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GEETA
Authorized Official - Middle Name:P
Authorized Official - Last Name:AATRE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:832-228-2460
Mailing Address - Street 1:1827 POWERS FERRY RD SE BLDG 22
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-5621
Mailing Address - Country:US
Mailing Address - Phone:770-953-4744
Mailing Address - Fax:770-953-4640
Practice Address - Street 1:2450 ATLANTA HWY STE 202
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-1251
Practice Address - Country:US
Practice Address - Phone:470-326-7332
Practice Address - Fax:770-953-4640
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GEETA AATRE PSYCHOLOGICAL SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-26
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty