Individual
YOUSEF SHAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS. LPC
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
101YA0400X
Addiction (Substance Use Disorder) Counselor
0909
GA
101YP2500X
Professional Counselor
00909
GA
106H00000X
Marriage & Family Therapist
Primary
0909
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AETNA HEALTH CARE
0007106410
—
01
—
BLUE CROSS/BLUE SHEI
52889675
—
05
—
PEACH CARE FOR KIDS
—
GA
05
—
PEACH STATE HEALTH/C
—
GA
05
—
PEACHCARE FOR KIDS
—
GA
01
—
VALUE OPTION
513726
—
05
—
WELL CARE OF GEORGIA
—
GA
Enumeration date
10/12/2006
Last updated
09/11/2025
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