Individual
SHIMA EIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10945 STATE BRIDGE RD STE 401-277, ALPHARETTA, GA 30022-8164
(281) 889-2158
Mailing address
10945 STATE BRIDGE RD STE 401-277, JOHNS CREEK, GA 30022-8164
(281) 889-2158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW010165
GA
1041C0700X
Clinical Social Worker
Primary
MSW010763
GA
Other
Enumeration date
01/29/2024
Last updated
04/06/2026
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