Proactive Life & Health Services

Clinical Social Worker · Stone Mountain, GA

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At a glance

925 Main St Ste 300-50, Stone Mountain, GA 30083-3098

NPPES record updated Feb 12, 2020. Public records can lag behind changes at a practice.

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Practice location

925 Main St Ste 300-50
Stone Mountain, GA 30083-3098
Professional details: NPI, taxonomy & registry record
NPI1790317279
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Feb 12, 2020
Record updated
Feb 12, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

925 Main St Ste 300-50
Stone Mountain, GA 30083-3098
Phone
(404) 416-3547
Fax
(470) 867-6898
Mailing address
925 MAIN ST STE 300-50

STONE MOUNTAIN, GA 300833098
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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