NPI 1033518048

Mauvescape LLC

Organisation Clinical Psychologist Atlanta, GA

Practice location

Address: 675 Seminole Ave NE STE 307, Atlanta, GA 30307-3416
Phone: (678) 701-9559

Authorised official

Name: Chantea D Williams
Title: Owner
Phone: (678) 701-9559

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY003998 (GA)

Other Psychologist providers in Georgia →

Registry record

NPI: 1033518048
Entity type: Organization
NPI issued: 14 Aug 2014
Record last updated: 31 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.