Provider Demographics
NPI:1841087475
Name:TATE, VOLANDA U
Entity type:Individual
Prefix:
First Name:VOLANDA
Middle Name:U
Last Name:TATE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 DEERE ST
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-1399
Mailing Address - Country:US
Mailing Address - Phone:678-551-9198
Mailing Address - Fax:678-551-9155
Practice Address - Street 1:254 VALLEY HILL RD SW
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2759
Practice Address - Country:US
Practice Address - Phone:678-551-9198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health