Avenues Of Change

LBN: Avenues Of Change
Avenues Of Change is an health care organization with primary practice located at 1568 Cloverdale Dr Se , Marietta GA 30067-7406. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Avenues Of Change can be contacted via phone (770) 713-4574, or through Smolko-Self, Maryann via phone (770) 713-4574.

Contact Information

Primary practice address
1568 Cloverdale Dr Se Marietta GA 30067-7406
Phone: (770) 713-4574
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smolko-Self, Maryann 7707134574
Phone: (770) 713-4574

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004657 Georgia

Profile Details

NPI number 1043657075
LBN Legal business name Avenues Of Change
DBA Doing business as
Authorized official Smolko-Self, Maryann 7707134574
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2013
Last updated May 31st, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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