| Alas | |
|
8321 Office Park Dr Douglasville GA 30134-6936 | |
| (770) 884-1558 | |
| (470) 243-1502 |
| Full Name | Alas |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8321 Office Park Dr, Douglasville, Georgia |
| Authorized Official Name and Position | Angelica Rivas-kennedy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4045147024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alas 8321 Office Park Dr Douglasville GA 30134-6936 Ph: (770) 884-1558 | Alas 8321 Office Park Dr Douglasville GA 30134-6936 Ph: (770) 884-1558 |
| NPI Number | 1811533888 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811533888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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