Provider Demographics
NPI:1326436262
Name:TRAINING AND COUNSELING CENTER AT SAINT LUKE'S
Entity Type:Organization
Organization Name:TRAINING AND COUNSELING CENTER AT SAINT LUKE'S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOTZE-KOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-876-6266
Mailing Address - Street 1:435 PEACHTREE ST NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-3228
Mailing Address - Country:US
Mailing Address - Phone:404-876-6266
Mailing Address - Fax:
Practice Address - Street 1:98 CURRIER ST NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308
Practice Address - Country:US
Practice Address - Phone:404-876-6266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)