Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Entera Health Alliance - Ga, PC

Organization Mental Health Counselor · NPI 1164382362

Entera Health Alliance - Ga, PC is a Mental Health Counselor in Atlanta, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9040 Roswell Rd Ste 500
Atlanta, GA 30350-1863
Phone: (678) 824-5664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1164382362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Atavious Johnson — Manager · (678) 824-5664
NPI enumeratedNovember 12, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address9040 Roswell Rd Ste 500, Atlanta, GA 30350-1863

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