The Family Center of Georgia, Inc.

NPI #1669605127 in Lithonia, Georgia

Provider Information

NPI Number: 1669605127
Entity Type: Organization
Organization Name: The Family Center of Georgia, Inc.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Sep 1, 2009
Last Updated: Sep 1, 2009

Practice Location

Address: 2520 HOLLINGSWORTH ST
City: Lithonia
State: Georgia
ZIP Code: 30058-4424
Phone: (770) 484-8834

Authorized Official

Name: DR. HALISI EDWARDS STATEN, PSYD
Title: LICENSED PSYCHOLOGIST
Phone: (678) 768-1214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Psychologist - Family — Family	103TF0000X
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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