Provider Demographics
NPI:1154685568
Name:SHIFTING PERSPECTIVES, INC
Entity Type:Organization
Organization Name:SHIFTING PERSPECTIVES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIKYTA
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAUGHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:404-590-8986
Mailing Address - Street 1:1790 CENTURY BLVD NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3322
Mailing Address - Country:US
Mailing Address - Phone:404-590-8986
Mailing Address - Fax:404-616-3399
Practice Address - Street 1:1790 CENTURY BLVD NE
Practice Address - Street 2:SUITE B
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-3322
Practice Address - Country:US
Practice Address - Phone:404-590-8986
Practice Address - Fax:404-616-3399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003362103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty