Provider Demographics
NPI:1205583671
Name:A WAY OF BEING PSYCHOTHERAPY AND CONSULTING
Entity type:Organization
Organization Name:A WAY OF BEING PSYCHOTHERAPY AND CONSULTING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SHANE
Authorized Official - Last Name:DONALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:404-889-6223
Mailing Address - Street 1:1873 RAINTREE CT
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-2117
Mailing Address - Country:US
Mailing Address - Phone:770-540-7715
Mailing Address - Fax:
Practice Address - Street 1:2386 CLOWER ST STE D102
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6108
Practice Address - Country:US
Practice Address - Phone:404-889-6223
Practice Address - Fax:770-696-1984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1487198057Medicaid