Provider Demographics
NPI:1841706066
Name:COMPREHENSIVE HEALTH ASSOCIATES, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE HEALTH ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:404-907-0760
Mailing Address - Street 1:4575 WEBB BRIDGE RD # 4911
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4256
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2465 MAIN ST STE 111
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-2673
Practice Address - Country:US
Practice Address - Phone:404-907-0760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAI DAMES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001578106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty