Provider Demographics
NPI:1083413199
Name:BUCHANAN, EMMA (MED, NCC)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:
Credentials:MED, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 REGAL PATH LN
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-4182
Mailing Address - Country:US
Mailing Address - Phone:740-591-3525
Mailing Address - Fax:
Practice Address - Street 1:3355 LENOX RD NE STE 1000
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-2000
Practice Address - Country:US
Practice Address - Phone:404-458-7824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor