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ATLANTA COUNSELING & EVALUATION SERVICES LLC NPI 1760539167


NPI Information

NPI: 1760539167
Provider Name: ATLANTA COUNSELING & EVALUATION SERVICES, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1902 MACY DR
ROSWELL, GA
ZIP 30076
Phone: (678) 795-0346
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ATLANTA COUNSELING & EVALUATION SERVICES, LLC is a clinic center in Roswell, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ATLANTA COUNSELING & EVALUATION SERVICES, LLC NPI is 1760539167. The provider is registered as an organization entity type.

The provider's business location address is:

1902 MACY DR
ROSWELL, GA
ZIP 30076-339
Phone: (678) 795-0346
Fax: (678) 795-9709

The provider's authorized official is Yousef Shams .
The authorized official title is Owner and has the following contact phone number (678) 795-0346.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center0909GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152889675OTHERGEORGIABLUE CROSS BLUEE SHIEL HM
2102513MEDICAIDGEORGIA
3513726OTHERGEORGIAVALUE OPTION

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

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