Healthcare Provider Details

I. General information

NPI: 1295783975
Provider Name (Legal Business Name): HELEN HUEY KABAT MSW, BA, AA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: HELEN TROYLEEN HUEY

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 NORTH AVE
ATHENS GA
30601-2244
US

IV. Provider business mailing address

250 NORTH AVE
ATHENS GA
30601-2244
US

V. Phone/Fax

Practice location:
  • Phone: 706-542-0333
  • Fax: 706-542-9693
Mailing address:
  • Phone: 706-542-0333
  • Fax: 706-542-9693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCSW001430
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: