Provider Demographics
NPI:1205984069
Name:HASSLER, MYLES (MS, LPC, CEAP, NCC)
Entity type:Individual
Prefix:MR
First Name:MYLES
Middle Name:
Last Name:HASSLER
Suffix:
Gender:M
Credentials:MS, LPC, CEAP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3499 GREYSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-5854
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:STE. 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
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC 001453101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional