BLACK SWAN ENTERPRISES NPI 1033556659

NPI Information

NPI: 1033556659
Provider Name: BLACK SWAN ENTERPRISES
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2801 BUFORD HWY NE
STE 501
ATLANTA, GA
ZIP 30329
Phone: (404) 832-0604
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BLACK SWAN ENTERPRISES is a professional counselor in Atlanta, GA. BLACK SWAN ENTERPRISES NPI is 1033556659. The provider is registered as an organization entity type.

The provider's business location address is:

2801 BUFORD HWY NE
STE 501
ATLANTA, GA
ZIP 30329-149
Phone: (404) 832-0604

The provider's authorized official is Mikaela Nicole Heard .
The authorized official title is Owner, Lead Therapist and has the following contact phone number (404) 832-0604.

The enumeration date for this NPI number is 5/23/2013 and was last updated on 6/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health		LPC007304	GEORGIA	No
2	101YP2500X	Counselor	Professional	LPC007304	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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