Healthcare Provider Details

I. General information

NPI: 1295655603
Provider Name (Legal Business Name): BILAL AHMAR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 BELMONT DR SE
CARTERSVILLE GA
30120-7523
US

IV. Provider business mailing address

324 BELMONT DR SE
CARTERSVILLE GA
30120-7523
US

V. Phone/Fax

Practice location:
  • Phone: 36-045-0544
  • Fax:
Mailing address:
  • Phone: 36-045-0544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number154786
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: