Provider Demographics
NPI:1831528975
Name:BURROUGHS, ALGIE (MS, MFT, CAMS)
Entity type:Individual
Prefix:MR
First Name:ALGIE
Middle Name:
Last Name:BURROUGHS
Suffix:
Gender:M
Credentials:MS, MFT, CAMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 PEACHTREE ST NW STE 481
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2469
Mailing Address - Country:US
Mailing Address - Phone:404-981-4469
Mailing Address - Fax:404-529-4729
Practice Address - Street 1:1718 PEACHTREE ST NW STE 481
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-2469
Practice Address - Country:US
Practice Address - Phone:404-981-4469
Practice Address - Fax:404-529-4729
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health