ROBERT JOSEPH DELETIS CADC II
NPI 1215283239
Counselor - Addiction (Substance Use Disorder) in Powder Springs, GA
Active since July 27, 2012
About Robert Joseph Deletis Cadc Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT JOSEPH DELETIS CADC II (NPI 1215283239) is an individual addiction (substance use disorder) provider in Powder Springs, Georgia, licensed in Georgia (1235) and active in the NPI registry since July 2012.
NPPES Registry Identity
NPI1215283239
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameROBERT JOSEPH DELETISCredential: CADC II
Location Address1115 CRESTWORTH CROSSINGPowder Springs, GA 30127-2721
Mailing Address1115 Crestworth CrossingPowder Springs, GA 30127 · (347) 672-7199
Phone(347) 672-7199
Sole ProprietorYes
Enumeration DateJuly 27, 2012
Last NPPES UpdateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
✔ NPI 1215283239 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in GA · 1235
1115 CRESTWORTH CROSSING, Powder Springs, GA 30127
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215283239, enumerated as an "individual" on July 27, 2012.
The provider is located at 1115 CRESTWORTH CROSSING POWDER SPRINGS, GA 30127 and the phone number is (347) 672-7199.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).