Provider Demographics
NPI:1376006080
Name:ARES-CHRISTIAN, ISAIAH (PSYD)
Entity Type:Individual
Prefix:
First Name:ISAIAH
Middle Name:
Last Name:ARES-CHRISTIAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:ISAIAH
Other - Middle Name:
Other - Last Name:ARES-BATKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYM
Mailing Address - Street 1:1670 CLAIRMONT RD RM 3B-353
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-4004
Mailing Address - Country:US
Mailing Address - Phone:518-879-9250
Mailing Address - Fax:
Practice Address - Street 1:1670 CLAIRMONT RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4004
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY004280103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical