Provider Demographics
NPI:1851699581
Name:ALL FOR ONE CONSULTANT SERVICE
Entity Type:Organization
Organization Name:ALL FOR ONE CONSULTANT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ORGANIZATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-338-5091
Mailing Address - Street 1:575 BETHANY CT
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-1659
Mailing Address - Country:US
Mailing Address - Phone:706-338-5091
Mailing Address - Fax:
Practice Address - Street 1:575 BETHANY CT
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-1659
Practice Address - Country:US
Practice Address - Phone:706-338-5091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GABT-0091403320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities