AVENUES OF CHANGE NPI 1043657075

NPI Information

NPI: 1043657075
Provider Name: AVENUES OF CHANGE
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1568 CLOVERDALE DR SE
MARIETTA, GA
ZIP 30067
Phone: (770) 713-4574
Get Directions

AVENUES OF CHANGE is a professional counselor in Marietta, GA. AVENUES OF CHANGE NPI is 1043657075. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1568 CLOVERDALE DR SE
MARIETTA, GA
ZIP 30067-406
Phone: (770) 713-4574

The provider's authorized official is Maryann Smolko-self .
The authorized official title is Owner/lpc and has the following contact phone number (770) 713-4574.

The enumeration date for this NPI number is 5/31/2013 and was last updated on 5/31/2013.

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	101YP2500X	Counselor	Professional	LPC004657	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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