Provider Demographics
NPI:1861262289
Name:AMNA KHAN COUNSELING AND CONSULTATION
Entity type:Organization
Organization Name:AMNA KHAN COUNSELING AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINCIAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:404-933-3783
Mailing Address - Street 1:4716 WAYLAND CIR
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-5166
Mailing Address - Country:US
Mailing Address - Phone:404-933-3783
Mailing Address - Fax:
Practice Address - Street 1:4716 WAYLAND CIR
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-5166
Practice Address - Country:US
Practice Address - Phone:404-933-3783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)