Provider Demographics
NPI:1942962881
Name:HOULKER, SELIMA
Entity Type:Individual
Prefix:
First Name:SELIMA
Middle Name:
Last Name:HOULKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7353 SPOLETO LOOP
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-6488
Mailing Address - Country:US
Mailing Address - Phone:347-249-7940
Mailing Address - Fax:
Practice Address - Street 1:7353 SPOLETO LOOP
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-6488
Practice Address - Country:US
Practice Address - Phone:347-249-7940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker