NPI 1043045941

Dive Therapy & Consulting LLC

Organisation Psychologist Atlanta, GA

Practice location

Address: 1055 Howell Mill Rd NW Fl 8, Atlanta, GA 30318-5557
Phone: (404) 800-1998
Fax: (404) 393-0989
Mailing address: 1700 Northside Dr NW STE A7, Pmb 1704, Atlanta, GA 30318-2695

Authorised official

Name: Speshal T.W. Gautier
Title: Owner
Phone: (404) 800-1998

Registered specialties (3)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X

Other Psychologist providers in Georgia →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Georgia →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Georgia →

Registry record

NPI: 1043045941
Entity type: Organization
NPI issued: 3 Sep 2024
Record last updated: 12 Sep 2024

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.