Provider Demographics
NPI:1326307257
Name:A AFFORDABLE DUI SCHOOL LLC
Entity Type:Organization
Organization Name:A AFFORDABLE DUI SCHOOL LLC
Other - Org Name:AFFORDABLE COUNSELING SOLUTIONS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CADCII, ICADC
Authorized Official - Phone:770-996-9026
Mailing Address - Street 1:6360 HIGHWAY 85
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-1609
Mailing Address - Country:US
Mailing Address - Phone:770-996-9026
Mailing Address - Fax:770-996-5750
Practice Address - Street 1:6360 HIGHWAY 85
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-1609
Practice Address - Country:US
Practice Address - Phone:770-996-9026
Practice Address - Fax:770-996-5750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-12
Last Update Date:2012-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA489101YA0400X
GA704020251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty