Provider Demographics
NPI:1760601124
Name:KRASILOVSKY, ARTHUR MARK (MSSA, LCSW, CEAP)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:MARK
Last Name:KRASILOVSKY
Suffix:
Gender:M
Credentials:MSSA, LCSW, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 ORMOND ST SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-2053
Mailing Address - Country:US
Mailing Address - Phone:404-558-7293
Mailing Address - Fax:
Practice Address - Street 1:389 ORMOND ST SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-2053
Practice Address - Country:US
Practice Address - Phone:404-558-7293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0037941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical