| Azar Counseling Services Llc | |
|
3400 Chapel Hill Rd Douglasville GA 30135-1739 | |
| (404) 458-7595 | |
| Not Available |
| Full Name | Azar Counseling Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3400 Chapel Hill Rd, Douglasville, Georgia |
| Authorized Official Name and Position | Kenya A Patterson-brown (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4144671888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azar Counseling Services Llc Po Box 2184 Douglasville GA 30133-2184 Ph: (414) 467-1888 | Azar Counseling Services Llc 3400 Chapel Hill Rd Douglasville GA 30135-1739 Ph: (404) 458-7595 |
| NPI Number | 1104586387 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 12/29/2021 |
| Certification Date | 12/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104586387 | NPI | - | NPPES |
| 003250308A | Medicaid | GA | |
| 100040008 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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