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NPI Code Detail

MEDICARE: MRS. SYDNEY BAIRD ARTHUR LPC

MEDICARE: MRS. SYDNEY BAIRD ARTHUR LPC
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
1101YM0800XMental Health Counselor0001482GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10001482OTHERGALPC

General Provider Information

NPI Number : 1831281393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SYDNEY BAIRD ARTHUR LPC
Provider Business Mailing Address
First Line : 1919 JOHN WESLEY AVE
Second Line :
City : COLLEGE PARK
State : GA
Zip : 30337-3605
Country : US
Telephone Number : 404-762-9190
Fax Number : 404-762-9101
Provider Business Practice Location Address
First Line : 1919 JOHN WESLEY AVE
Second Line :
City : COLLEGE PARK
State : GA
Zip : 30337-3605
Country : US
Telephone Number : 404-762-9190
Fax Number : 404-762-9101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 03/14/2011

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Directions to “ MRS. SYDNEY BAIRD ARTHUR LPC” Practice Location

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