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Organization

ESFAHANI ENTERPRISES LLC

Active
Other names
Thriveworks
Organization subpart
No

Provider details

NPI number
Authorized official
MR. A A ESFAHANI MSN, APRN, BSBA (PRESIDENT/MEDICAL DIRECTOR)
(617) 379-0496
Entity
Organization

Contact information

Practice address
700 CHURCHILL CT STE 110, WOODSTOCK, GA 30188-6880
(770) 284-9092
Mailing address
700 CHURCHILL CT STE 110, WOODSTOCK, GA 30188-6880
(617) 379-0496
(678) 919-4082

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103TC1900X
Counseling Psychologist
Primary
103TP0814X
Psychoanalysis Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
163WP0808X
Psychiatric/Mental Health Registered Nurse
2084P0800X
Psychiatry Physician

Other

Enumeration date
09/12/2019
Last updated
11/18/2021
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