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Samantha Malcolm
Mental Health Counselor in Atlanta, Georgia
NPI 1508532177

Samantha Malcolm is a Mental Health Counselor based in Atlanta, GA and is specialized in Mental Health. Samantha Malcolm practices in Atlanta, GA. The NPI Number for Samantha Malcolm is 1508532177 and holds a License No. (Georgia).

The current practice location address for Samantha Malcolm is 1030 Fayetteville Rd Se, Atlanta, GA and can be reached out via phone at 404-486-9034.

Location: 1030 Fayetteville Rd Se, Atlanta, GA, 30312-3643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508532177
Provider Name
Samantha Malcolm
Credential
Provider Entity Type
Individual
Gender
Female
Address
1030 Fayetteville Rd Se, Atlanta, GA, 30312-3643
Phone Number
404-486-9034
Fax Number
Provider Enumeration Date
08/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134257827 05 GA
institution
Provider Business Practice Location Address Details
Address
1030 Fayetteville Rd Se
City
Atlanta
State
Georgia
Zip
30316-2921
Phone Number
404-486-9034
Fax Number
person
Provider Business Mailing Address Details
Address
1030 Fayetteville Rd Se
City
Atlanta
State
Georgia
Zip
30316-2921
Phone Number
404-486-9034
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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