Provider Demographics
NPI:1962849927
Name:ANGELS IN DISGUISE COUNSELING AND ASSESSMENTS, LLC
Entity Type:Organization
Organization Name:ANGELS IN DISGUISE COUNSELING AND ASSESSMENTS, LLC
Other - Org Name:AID SOCIAL SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEALS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-663-8012
Mailing Address - Street 1:3655 CANTON RD
Mailing Address - Street 2:STE 110
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-2690
Mailing Address - Country:US
Mailing Address - Phone:678-250-4754
Mailing Address - Fax:404-393-6439
Practice Address - Street 1:3655 CANTON RD
Practice Address - Street 2:STE 110
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-2690
Practice Address - Country:US
Practice Address - Phone:678-250-4754
Practice Address - Fax:404-393-6439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)