Individual
MR. SEYMOUR SHAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1506 KAY LN NE, ATLANTA, GA 30306-2108
(678) 595-6116
(404) 891-3749
Mailing address
1506 KAY LN NE, ATLANTA, GA 30306-2108
(678) 595-6116
(404) 891-3749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1204
GA
1041C0700X
Clinical Social Worker
1204
GA
106H00000X
Marriage & Family Therapist
567
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11847617
GA LPC #1204; GA LMFT #567
—
01
—
1204
LPC
GA
01
—
567
MFT
GA
Enumeration date
02/12/2007
Last updated
04/18/2024
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