Individual
BRIAN AUSTIN TEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1441 WOODMONT LN NW, STE 1988, ATLANTA, GA 30318-2866
(901) 604-7463
Mailing address
1441 WOODMONT LN NW STE 1988, ATLANTA, GA 30318-2866
(901) 563-8565
(678) 974-0228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006390
GA
1041C0700X
Clinical Social Worker
—
AR
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2012
Last updated
07/21/2023
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