Shams, Yousef

Shams, Yousef is an sole proprietor health care provider with primary practice located at 1902 Macy Dr , Roswell GA 30076-6339. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Shams, Yousef can be contacted via phone (678) 795-0346.

Contact Information

Primary practice address
1902 Macy Dr Roswell GA 30076-6339
Phone: (678) 795-0346
Fax: (678) 795-9709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0909 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X 00909 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0909 Georgia

Profile Details

NPI number 1912096520
LBN Legal business name Shams, Yousef
Credentials MS. LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912096520 NPPES
Georgia MEDICAID PEACH STATE HEALTH/C
Georgia MEDICAID PEACHCARE FOR KIDS
Georgia MEDICAID WELL CARE OF GEORGIA
Georgia Other AETNA HEALTH CARE
Georgia Other BLUE CROSS/BLUE SHEI
Georgia MEDICAID PEACH CARE FOR KIDS
Georgia Other VALUE OPTION

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