Healthcare Provider Details

I. General information

NPI: 1073609152
Provider Name (Legal Business Name): AIDS RESOURCE COUNCIL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 BROAD ST SUITE 208
ROME GA
30161-1708
US

IV. Provider business mailing address

215 BROAD ST SUITE 208
ROME GA
30161-1708
US

V. Phone/Fax

Practice location:
  • Phone: 706-290-9098
  • Fax: 706-290-9019
Mailing address:
  • Phone: 706-290-9098
  • Fax: 706-290-9019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. TANIA MULL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 706-290-9098