MEDICARE: AVIONCE HEALTHCARE SOLUTIONS

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
2	101YP2500X	Professional Counselor
3	101YA0400X	Addiction (Substance Use Disorder) Counselor
4	103K00000X	Behavior Analyst
5	103T00000X	Psychologist
6	103TC2200X	Clinical Child & Adolescent Psychologist
7	1041C0700X	Clinical Social Worker	CSW003836	GA

General Provider Information

NPI Number	:	1417217050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVIONCE HEALTHCARE SOLUTIONS

Provider Business Mailing Address
First Line	:	2220 JOHNSON CREEK DR
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-5183
Country	:	US
Telephone Number	:	678-901-9772
Fax Number	:	866-864-3408

Provider Business Practice Location Address
First Line	:	2140 MCGEE RD
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-2980
Country	:	US
Telephone Number	:	678-901-9772
Fax Number	:	866-864-3408

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. CAMELIA BEVERLY BALLAH
Credential	:
Telephone Number	:	770-882-4031

Provider Enumeration Date	:	05/16/2012
Last Update Date	:	05/16/2012

Similar Medicare Providers

1992676787 — CHOSEN HOSPICE LLC
Practice Location Address:

2140 MCGEE RD STE A900
SNELLVILLE, GA
30078-2980

Practice Phone: 404-905-7387
Practice Fax: 404-905-9219

1164594552 — TIM SCHNABEL M.ED.
Practice Location Address:

2140 MCGEE RD
SNELLVILLE, GA
30078-2980

Practice Phone: 770-207-4888
Practice Fax: 770-207-4888

1962618579 — DR. SHELDON BETHEA D.C.
Practice Location Address:

2140 MCGEE RD , SUITE C145
SNELLVILLE, GA
30078-2980

Practice Phone: 678-514-2297
Practice Fax: 678-638-1081

1316321987 — ANITA JONES-GATES RN, MSN
Practice Location Address:

2140 MCGEE RD , SUITE 260
SNELLVILLE, GA
30078-2980

Practice Phone: 678-638-1088
Practice Fax:

1619351095 — MABLEHOUSE HOSPICE
Practice Location Address:

2140 MCGEE RD , STE. C-260
SNELLVILLE, GA
30078-2980

Practice Phone: 678-638-1088
Practice Fax:

1972960995 — LIFE MEDICAL SUPPLY, LLC
Practice Location Address:

2140 MCGEE RD
SNELLVILLE, GA
30078-2980

Practice Phone: 770-855-9182
Practice Fax:

Directions to “AVIONCE HEALTHCARE SOLUTIONS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.