Atl Sport

NPI #1679067870 in Lake City, Georgia

Provider Information

NPI Number
1679067870
Entity Type
Organization
Organization Name
Atl Sport
Subpart
Yes (part of a larger organization)
Parent Organization
FIT MIND, FIT BODY, FIT SOUL
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 20, 2018
Last Updated
Jun 20, 2018

Practice Location

Address
5376 JONESBORO RD
State
Georgia
ZIP Code
30260
Phone
(404) 748-1102

Authorized Official

Name
MRS. KIMBERLY D ALEXANDER, LPC, MBA, MAMFT, NCC
Title
LICENSE PROFESSIONAL COUSELER
Phone
(404) 625-6262

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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