| Atlanta Counseling & Evaluation Services, Llc | |
|
1902 Macy Dr Roswell GA 30076-6339 | |
| (678) 795-0346 | |
| (678) 795-9709 |
| Full Name | Atlanta Counseling & Evaluation Services, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1902 Macy Dr, Roswell, Georgia |
| Authorized Official Name and Position | Yousef Shams (OWNER) |
| Authorized Official Contact | 6787950346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Counseling & Evaluation Services, Llc 1902 Macy Dr Roswell GA 30076-6339 Ph: (678) 795-0346 | Atlanta Counseling & Evaluation Services, Llc 1902 Macy Dr Roswell GA 30076-6339 Ph: (678) 795-0346 |
| NPI Number | 1760539167 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760539167 | NPI | - | NPPES |
| 513726 | Other | GA | VALUE OPTION |
| 52889675 | Other | GA | BLUE CROSS BLUEE SHIEL HM |
| 102513 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0909 (Georgia) | Primary |
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