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Organization

NATIONAL CENTER FOR COMMUNITY SOLUTIONS LLC

Active
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Organization

NATIONAL CENTER FOR COMMUNITY SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IDRIS TALIB (EXECUTIVE DIRECTOR)
(678) 794-4846
Entity
Organization

Contact information

Practice address
882 MARTIN LUTHER KING JR DR SW STE A, ATLANTA, GA 30314-3606
(678) 794-4846
Mailing address
882 MARTIN LUTHER KING JR DR SW STE A, ATLANTA, GA 30314-3606

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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