Christie Asuzu

Individual provider Active NPI Community/Behavioral Health Agency · Acworth, GA

NPI 1336765841 · NPPES record last updated Jun 20, 2020

Key facts

NPI
1336765841
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
2411 Waterton CT NW
Acworth, GA 30101-3499
Phone
(404) 966-9607
NPI assigned
Jun 20, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Family and Community Services, Limited Current
since Jun 28, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

2411 Waterton CT NW
Acworth, GA 30101-3499

Mailing address

2411 Waterton CT NW
Acworth, GA 30101-3499
Phone (404) 966-9607

Other providers in Acworth, GA

All providers in Acworth, GA · Community/Behavioral Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.