SearchGeorgia101YP2500X

Samuel Evans, LPC

NPI 1396225298 · on the registry since 2018 · sole proprietor

Practice

Address
1135 Cedar Shoals Dr Ste B
Athens, GA 30605
Phone
(706) 549-5522
Fax
(888) 267-4454
Organisation at this address
Hansford Pharmacy Services Llc
Juvenile Offender Advocate Inc Joa
Greater Grace Development Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 3735 Harrison Rd Ste 400, Loganville, GA

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia