MEDICARE: MOHAMED SEY

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1285255323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED SEY

Provider Business Mailing Address
First Line	:	3205 CREST RIDGE DR
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-8107
Country	:	US
Telephone Number	:	347-780-4452
Fax Number	:

Provider Business Practice Location Address
First Line	:	3205 CREST RIDGE DR
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-8107
Country	:	US
Telephone Number	:	347-780-4452
Fax Number	:

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

Provider Enumeration Date	:	04/29/2020
Last Update Date	:	04/29/2020

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Directions to “ MOHAMED SEY ” Practice Location

Language	Start Address	Practice Location

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