Provider Demographics
NPI:1710217658
Name:WMH PROFESSIONAL COUNSELING & ASSESSMENT SERVICES, INC.
Entity Type:Organization
Organization Name:WMH PROFESSIONAL COUNSELING & ASSESSMENT SERVICES, INC.
Other - Org Name:W. MYLES HASSLER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LIC. PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:W.
Authorized Official - Middle Name:MYLES
Authorized Official - Last Name:HASSLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, CEAP, NCC,
Authorized Official - Phone:770-242-4437
Mailing Address - Street 1:1900 CENTURY PL NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-4307
Mailing Address - Country:US
Mailing Address - Phone:770-242-4437
Mailing Address - Fax:404-321-1928
Practice Address - Street 1:1900 CENTURY PL NE
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-4307
Practice Address - Country:US
Practice Address - Phone:770-242-4437
Practice Address - Fax:404-321-1928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-27
Last Update Date:2009-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC 001453101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty