Individual provider · Type 1 NPI

Erin Blair Wallis, CSC

Community/Behavioral Health Agency · Cumming, GA

NPI number 1649869223 Active

Practice location

4355 Browns Bridge Rd
Cumming, GA 30041-4554

Fax (770) 771-5051

Mailing address

4910 Dahlonega Hwy
Cumming, GA 30028-5583

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1649869223

Erin Blair Wallis, CSC's National Provider Identifier is 1649869223, issued on Jan 18, 2021. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Cumming, GA. The record was last updated on Jan 18, 2021.