Provider Demographics
NPI:1851585970
Name:GA RESOURCES: EDUCATION ADVOCACY TREATMENT FOR DEAF ADULTS YOUTH INC.
Entity Type:Organization
Organization Name:GA RESOURCES: EDUCATION ADVOCACY TREATMENT FOR DEAF ADULTS YOUTH INC.
Other - Org Name:G.R.E.A.T. D.AY.
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICIAN/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:WHALEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-377-9224
Mailing Address - Street 1:246 SYCAMORE ST.
Mailing Address - Street 2:SUITE 240
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3432
Mailing Address - Country:US
Mailing Address - Phone:404-377-9224
Mailing Address - Fax:188-886-0540
Practice Address - Street 1:246 SYCAMORE ST
Practice Address - Street 2:SUITE 240
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-3442
Practice Address - Country:US
Practice Address - Phone:404-377-9224
Practice Address - Fax:188-886-0540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)