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Samira Bland
Mental Health Counselor in Decatur, Georgia
NPI 1760016984

Samira Bland is a Mental Health Counselor based in Decatur, GA and is specialized in Mental Health. Samira Bland practices in Decatur, GA. The NPI Number for Samira Bland is 1760016984 and holds a License No. (Georgia).

The current practice location address for Samira Bland is 315 W Ponce De Leon Ave Ste 300, Decatur, GA and can be reached out via phone at 770-609-6976.

Location: 315 W Ponce De Leon Ave Ste 300, Decatur, GA, 30030-2481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760016984
Provider Name
Samira Bland
Credential
Provider Entity Type
Individual
Gender
Female
Address
315 W Ponce De Leon Ave Ste 300, Decatur, GA, 30030-2481
Phone Number
770-609-6976
Fax Number
Provider Enumeration Date
02/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
052338105 01 GA DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
315 W Ponce De Leon Ave Ste 300
City
Decatur
State
Georgia
Zip
30030-2481
Phone Number
770-609-6976
Fax Number
person
Provider Business Mailing Address Details
Address
315 W Ponce De Leon Ave Ste 300
City
Decatur
State
Georgia
Zip
30030-2481
Phone Number
770-609-6976
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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