Provider Demographics
NPI:1265316855
Name:ATLANTA RESET THERAPY
Entity type:Organization
Organization Name:ATLANTA RESET THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:470-615-0632
Mailing Address - Street 1:650 PONCE DE LEON AVE
Mailing Address - Street 2:SUITE 300 #1214
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308
Mailing Address - Country:US
Mailing Address - Phone:470-615-0632
Mailing Address - Fax:877-743-1097
Practice Address - Street 1:675 SEMINOLE AVE NE SUITE 107
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307
Practice Address - Country:US
Practice Address - Phone:470-615-0632
Practice Address - Fax:877-743-1097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health