Individual provider · Type 1 NPI

Eileen Brody Shaw, LC, LAPC

Professional Counselor · Atlanta, GA

NPI number 1003195900 Active

Practice location

4536 Barclay Dr, Suite A
Atlanta, GA 30338-7145

Call (770) 458-8711 Map

Fax (770) 458-8640

Mailing address

4536 Barclay Drive, Suite A
Atlanta, GA 30338

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XAPC002229 (GA)
Registered Dietitian 133V00000XLD000428 (GA)

Professional Counselor: Definition to come...

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About NPI 1003195900

Eileen Brody Shaw, LC, LAPC's National Provider Identifier is 1003195900, issued on Aug 9, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Aug 9, 2011.