Organization
AVIONCE HEALTHCARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAMELIA BEVERLY BALLAH (DIRECTOR)
(770) 882-4031
Entity
Organization
Contact information
Practice address
2140 MCGEE RD, SNELLVILLE, GA 30078-2980
(678) 901-9772
(866) 864-3408
Mailing address
2220 JOHNSON CREEK DR, LITHONIA, GA 30058-5183
(678) 901-9772
(866) 864-3408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
CSW003836
GA
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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