Provider Demographics
NPI:1821683079
Name:WELSH, ATALANTA
Entity Type:Individual
Prefix:
First Name:ATALANTA
Middle Name:
Last Name:WELSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E DAME ST STE 3
Mailing Address - Street 2:
Mailing Address - City:SUTTONS BAY
Mailing Address - State:MI
Mailing Address - Zip Code:49682-5100
Mailing Address - Country:US
Mailing Address - Phone:231-715-6071
Mailing Address - Fax:231-241-1087
Practice Address - Street 1:101 E DAME ST STE 3
Practice Address - Street 2:
Practice Address - City:SUTTONS BAY
Practice Address - State:MI
Practice Address - Zip Code:49682-5100
Practice Address - Country:US
Practice Address - Phone:231-715-6071
Practice Address - Fax:231-241-1087
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical