Patricia A Azab, LMHC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

008304 Issued in GA

Practice address

102 Gunn Rd
Centerville, GA 31028-1706

Phone

(478) 953-0088

NPI assigned

Sep 18, 2008

Last updated

Apr 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Neuropsychological Testing and Counseling

  • Clinical Psychologist
  • Centerville, GA
  • NPI 1013147743
  NPD (past)
• Work in Progress Counseling and Consulting LLC

  • Mental Health Counselor
  • Centerville, GA
  • NPI 1376083543
  NPD (past)
• Harlan and Associates

  • Psychologist
  • Sedalia, MO
  • NPI 1366435893
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1740439389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GUNN RD",
            "city": "CENTERVILLE",
            "state": "GA",
            "postal_code": "310281706",
            "telephone_number": "478-953-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GUNN RD",
            "city": "CENTERVILLE",
            "state": "GA",
            "postal_code": "310281706",
            "telephone_number": "478-953-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAB",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH2119",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "008304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Barwick, PHARMACIST
• Jeff Barwick
• Shay Brown, OTR/L
• Emeli Eleyn Burlison, RDH
• Chaquana Renee' Carter

• Professional Counselor in Centerville, GA
• Providers in Centerville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.