Organization
ATLANTA COUNSELING & EVALUATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOUSEF SHAMS MASTERS OF SCIENCE (OWNER)
(678) 795-0346
Entity
Organization
Contact information
Practice address
1902 MACY DR, ROSWELL, GA 30076-6339
(678) 795-0346
(678) 795-9709
Mailing address
1902 MACY DR, ROSWELL, GA 30076-6339
(678) 795-0346
(678) 795-9709
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0909
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102513
—
GA
01
—
513726
VALUE OPTION
GA
01
—
52889675
BLUE CROSS BLUEE SHIEL HM
GA
Enumeration date
01/05/2007
Last updated
08/22/2020
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