Provider Demographics
NPI:1508399759
Name:THE BERMAN CENTER
Entity Type:Organization
Organization Name:THE BERMAN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALYZA
Authorized Official - Middle Name:BERMAN
Authorized Official - Last Name:MILRAD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:404-694-0204
Mailing Address - Street 1:6425 POWERS FERRY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2908
Mailing Address - Country:US
Mailing Address - Phone:770-336-7444
Mailing Address - Fax:770-502-3744
Practice Address - Street 1:6425 POWERS FERRY RD STE 300
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2908
Practice Address - Country:US
Practice Address - Phone:770-336-7444
Practice Address - Fax:770-502-3744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7995103TC0700X
GA38421041C0700X
GA55601041C0700X
GA0149562084P0800X
225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty