Most Relevant Information
Provider Data
| NPI Number: | 1003195900 |
| Provider Name: | EILEEN BRODY SHAW LC, LAPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | APC002229 |
Most Important Dates
| Enumeration Date: | 08/09/2011 |
| Last Updated: | 08/09/2011 |
Provider Practice Location
4536 BARCLAY DR
SUITE A
ATLANTA
GA
303387145
Practice Location Phone/Fax
| Phone: | 7704588711 |
| Fax: | 7704588640 |
Provider Mailing Location
4536 BARCLAY DRIVE
SUITE A
ATLANTA
GA
30338
Provider Mailing Phone/Fax
| Phone: | 7704588711 |
| Fax: | 7704588640 |