Provider Demographics
NPI:1558600684
Name:PAGE ONE & ASSOCIATES, LLC
Entity type:Organization
Organization Name:PAGE ONE & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MS, LPC
Authorized Official - Phone:678-799-4828
Mailing Address - Street 1:1800 WATER PL SE
Mailing Address - Street 2:STE. #240
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2061
Mailing Address - Country:US
Mailing Address - Phone:770-899-0648
Mailing Address - Fax:770-693-0157
Practice Address - Street 1:1800 WATER PL SE
Practice Address - Street 2:STE. #240
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2061
Practice Address - Country:US
Practice Address - Phone:770-899-0648
Practice Address - Fax:770-693-0157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-09
Last Update Date:2013-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC00693251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health