Provider Demographics
NPI:1538311238
Name:AUC INSTITUTE FOR CAREER STUDIES DBA TRADING FACES
Entity Type:Organization
Organization Name:AUC INSTITUTE FOR CAREER STUDIES DBA TRADING FACES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARRISON
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-753-0038
Mailing Address - Street 1:PO BOX 92188
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30314-0188
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2391 BENJAMIN E MAYS DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-3251
Practice Address - Country:US
Practice Address - Phone:404-753-0038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA646835078AMedicaid