Provider Demographics
NPI:1033303482
Name:DEPARTMENT OF VETERANS AFFAIRS
Entity type:Organization
Organization Name:DEPARTMENT OF VETERANS AFFAIRS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER-REID
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:404-321-6111
Mailing Address - Street 1:4055 BROWNE CT
Mailing Address - Street 2:
Mailing Address - City:CONLEY
Mailing Address - State:GA
Mailing Address - Zip Code:30288-6811
Mailing Address - Country:US
Mailing Address - Phone:770-629-1761
Mailing Address - Fax:
Practice Address - Street 1:2675 N MARTIN ST
Practice Address - Street 2:BLDG 700
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-6948
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-327-4028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty