ORIGINAL MICHAEL CACICACII NPI 1437576253

NPI Information

NPI: 1437576253
Provider Name: ORIGINAL MICHAEL, CACI,CACII
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
159 FORSYTH ST SW
ATLANTA, GA
ZIP 30303
Phone: (404) 523-4599
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Original Michael, CACI,CACII is a mental health counselor in Atlanta, GA. Original Michael, CACI,CACII NPI is 1437576253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

159 FORSYTH ST SW
ATLANTA, GA
ZIP 30303-634
Phone: (404) 523-4599
Fax: (404) 586-0645

The enumeration date for this NPI number is 3/19/2014 and was last updated on 3/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	3026	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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