Provider Demographics
NPI:1750831541
Name:TAPESTRY PSYCHOLOGICAL ASSOCIATES
Entity Type:Organization
Organization Name:TAPESTRY PSYCHOLOGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:MAMFT LPC
Authorized Official - Phone:770-425-8275
Mailing Address - Street 1:127 CHURCH ST NE
Mailing Address - Street 2:STE 350
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-8637
Mailing Address - Country:US
Mailing Address - Phone:770-425-8275
Mailing Address - Fax:
Practice Address - Street 1:127 CHURCH ST NE
Practice Address - Street 2:STE 350
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-8637
Practice Address - Country:US
Practice Address - Phone:770-425-8275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008263251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health