Aissatou Ba
Individual provider Active NPI Mental Health Counselor · Lithonia, GA
NPI 1801468780 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1801468780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3025 Stone Mountain
Lithonia, GA 30058 - Phone
- (470) 236-3457
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3025 Stone Mountain
Lithonia, GA 30058
Mailing address
3025 Stone Mountain
Lithonia, GA 30058
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All providers in Lithonia, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.