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Contact Information

ALLISON Z BASHAM, M.A., LPC
555 SUN VALLEY DR
SUITE P-4
ROSWELL, GA30076-5612
 Phone: 678-381-1687
 Fax: 678-381-8020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for ALLISON Z BASHAM · (Female)

NPI Number 1407290117
Status Active
Credentials M.A., LPC
Entity Individual
Enumeration date 04/24/2013
Last updated 06/22/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # LPC006374
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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