ATLANTA COUNSELING & EVALUATION SERVICES, LLC (NPI# 1760539167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760539167 |
| Entity Type | Organization |
| Organization Name | ATLANTA COUNSELING & EVALUATION SERVICES, LLC |
| Practice Address |
1902 Macy Dr Roswell GA 30076-6339 |
| Practice Telephone | 6787950346 |
| Practice Fax Number | 6787959709 |
| Mailing Telephone | 6787950346 |
| Mailing Fax Number | 6787959709 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. YOUSEF SHAMS (OWNER) |
| Authorized Official Telephone | 6787950346 |
| Authorized Official Credential | MASTERS OF SCIEN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 0909 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS BLUEE SHIEL HM | 52889675 | 01 |
| GA | 102513 | 05 | |
| GA | VALUE OPTION | 513726 | 01 |
| Street Address |
1902 MACY DR |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-6339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912096520 | Yousef Shams | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2006-10-12 |
| 1275005449 | Viviene Verona Smith | Nurse Practitioner | 1902 Macy Dr, Roswell, GA 30076-6339 | 2018-12-27 |
| 1902322902 | Sydney Janai Cunningham | Nurse Practitioner | 1902 Macy Dr, Roswell, GA 30076-6339 | 2017-08-21 |
| 1215463120 | Vera Holloway | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2017-05-11 |
| 1619306909 | Rebecca Habte | Physician Assistant | 1902 Macy Dr, Roswell, GA 30076-6339 | 2013-11-06 |
| 1104100437 | Russ Sanders | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2011-10-05 |
| 1083856819 | Josephine Kim Kirkup | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2009-03-25 |
| 1538285473 | Jill Sherri Polisner-kruljac | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2007-03-22 |
| 1649339961 | Darius Entesary | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2006-12-06 |
| 1093873812 | Atlanta Behavioral Medicine LLC | Psychiatry & Neurology | 1902 Macy Dr, Atlanta Behavioral Medicine LLC, Roswell, GA 30076-6339 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1821367640 | Guided Motion, LLC | Clinic/Center | 102 Russell Rd, Roswell, GA 30075-1147 | 2011-12-22 |
| 1760956437 | Hands of Life LLC | Clinic/Center | 425 E Crossville Rd Ste E-111, Roswell, GA 30075-5817 | 2019-01-16 |
| 1669980256 | Buckhead Chiropractic & Wellness | Clinic/Center | 600 Houze Way Ste A1, Roswell, GA 30076-1432 | 2018-01-17 |
| 1447633540 | Southwest C A R E Center | Clinic/Center | 1200 S Richardson Ave, Roswell, NM 88203-5577 | 2015-07-07 |
| 1124467063 | Advantage Bodycare Solutions, LLC | Clinic/Center | 500 Sun Valley Dr, Suite A-3, Roswell, GA 30076-1482 | 2013-06-24 |
| 1649515289 | Dees Chiropractic PC | Clinic/Center | 1150 Grimes Bridge Rd, Suite 400, Roswell, GA 30075-3988 | 2012-12-08 |
| 1669649448 | Rediclinic Us, LLC | Clinic/Center | 970 Mansell Rd, Roswell, GA 30076-1506 | 2008-05-12 |
| 1164608543 | Eye Catchers Inc | Clinic/Center | 204 E College Blvd, Roswell, NM 88201-5112 | 2008-01-15 |
| 1467638098 | Atlanta Arthritis Center, P.C. | Clinic/Center | 1305 Hembree Rd., Suite 101, Roswell, GA 30076-3810 | 2008-01-14 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.