Provider Demographics
NPI:1609513001
Name:MAS PAZ SERVICES
Entity Type:Organization
Organization Name:MAS PAZ SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:TATIANA
Authorized Official - Middle Name:CABRAL
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-766-0600
Mailing Address - Street 1:610 W 46TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1962
Mailing Address - Country:US
Mailing Address - Phone:912-766-0600
Mailing Address - Fax:912-766-0600
Practice Address - Street 1:12 1/2 W STATE ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-3611
Practice Address - Country:US
Practice Address - Phone:912-766-0600
Practice Address - Fax:912-766-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty