Provider Demographics
NPI:1184023244
Name:A.G. AIKEN CONSULTING
Entity Type:Organization
Organization Name:A.G. AIKEN CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTWAN
Authorized Official - Middle Name:GILBERT
Authorized Official - Last Name:AIKEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, MPA
Authorized Official - Phone:404-964-6147
Mailing Address - Street 1:1045 REUNION PL SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-6350
Mailing Address - Country:US
Mailing Address - Phone:404-964-6147
Mailing Address - Fax:
Practice Address - Street 1:1045 REUNION PL SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-6350
Practice Address - Country:US
Practice Address - Phone:404-964-6147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6167251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC10449OtherLMSW
GA6167OtherLMSW