MEDICARE: STEVEN BAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor
2	101YP2500X	Professional Counselor	LPC005339	GA

General Provider Information

NPI Number	:	1134257728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN BAND

Provider Business Mailing Address
First Line	:	2943 APPLING WAY
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-3909
Country	:	US
Telephone Number	:	404-840-7212
Fax Number	:	404-840-7212

Provider Business Practice Location Address
First Line	:	2943 APPLING WAY
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-3909
Country	:	US
Telephone Number	:	404-840-7212
Fax Number	:	404-840-7212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	12/20/2023

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Directions to “ STEVEN BAND ” Practice Location

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