Organization
AZAR COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA A PATTERSON-BROWN LPC (EXECUTIVE DIRECTOR)
(414) 467-1888
Entity
Organization
Contact information
Practice address
3400 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-1739
(404) 458-7595
Mailing address
PO BOX 2184, DOUGLASVILLE, GA 30133-2184
(414) 467-1888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003250308A
—
GA
05
—
100040008
—
WI
Enumeration date
12/29/2021
Last updated
12/29/2021
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