Provider Demographics
NPI:1851482376
Name:RECOVERY CONSULTANTS OF ATLANTA, INC.
Entity type:Organization
Organization Name:RECOVERY CONSULTANTS OF ATLANTA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:404-289-0313
Mailing Address - Street 1:PO BOX 479
Mailing Address - Street 2:
Mailing Address - City:AVONDALE ESTATES
Mailing Address - State:GA
Mailing Address - Zip Code:30002-0479
Mailing Address - Country:US
Mailing Address - Phone:404-289-0313
Mailing Address - Fax:404-289-0314
Practice Address - Street 1:1957 LAKESIDE PKWY STE 510
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-5859
Practice Address - Country:US
Practice Address - Phone:404-289-0313
Practice Address - Fax:404-289-0314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11D1020819291U00000X
GA261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No291U00000XLaboratoriesClinical Medical Laboratory