| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHOSHANA DAYANIM AGICHTEIN | 1356940712 | 2020-10-18 |
Shoshana Dayanim Agichtein is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356940712. Registration indicates Shoshana Dayanim Agichtein is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Dr. Shoshana Dayanim Agichtein |
| Practice Office Address | 1380 JODY LN NE ATLANTA, GA US |
| Practice Office Telephone | 4045205159 |
| Mailing Address | 1380 JODY LN NE ATLANTA, GA 303293522 US |
| Business Telephone | 4045205159 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | LPC010881
GA |