Eileen Brody Shaw
Professional Counselor
4536 Barclay Dr Suite A
Atlanta
, Georgia 30338-7145
Eileen Brody Shaw
Professional Counselor
4536 Barclay Dr Suite A
Atlanta
, Georgia 30338-7145
(770) 458-8640
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Eileen Brody Shaw
- 4536 Barclay Drive Suite A
- Atlanta, GA
- Zip : 30338
- Fax : (770) 458-8640
- Phone : (770) 458-8711
Second Address
- Eileen Brody Shaw
- 4536 Barclay Dr Suite A
- Atlanta, GA
- Zip : 30338-7145
- Fax : (770) 458-8640
- Phone : (770) 458-8711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | APC002229 | GA |
National Provider Identifier
| NPI | 1003195900 |
|---|---|
| Provider Name | Eileen Brody Shaw |
| First Address | Atlanta, GA 30338 |
| Second Address | Atlanta, GA 30338-7145 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2011 |
| Last Update Date | 09/08/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.