Provider Demographics
NPI:1699119255
Name:ATLANTA QUALITY CARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:ATLANTA QUALITY CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTORINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:706-522-7388
Mailing Address - Street 1:1807 HONEY CREEK CMNS SE STE A&B
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-5837
Mailing Address - Country:US
Mailing Address - Phone:678-374-2959
Mailing Address - Fax:678-224-8970
Practice Address - Street 1:1807 HONEY CREEK CMNS SE STE A&B
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-5837
Practice Address - Country:US
Practice Address - Phone:678-374-2959
Practice Address - Fax:678-224-8970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW004129251S00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003150154CMedicaid
GA003150154AMedicaid