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Contact Information

EZKIEL O ANDREWS, CAC
207 PINE TREE CIR
DECATUR, GA30032-1147
 Phone: 470-640-5698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for EZKIEL O ANDREWS · (Male)

NPI Number 1366964868
Status Active
Credentials CAC
Entity Individual
Enumeration date 07/17/2017
Last updated 01/06/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 3419
  • GA License # LPC015169
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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