Provider Demographics
NPI:1548500234
Name:A.W.A.R.E. MULTICOMM, INC.
Entity type:Organization
Organization Name:A.W.A.R.E. MULTICOMM, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZULAIKHA
Authorized Official - Middle Name:SHARIA
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LAPC
Authorized Official - Phone:404-539-9529
Mailing Address - Street 1:727 HOLCOMBS POND CT
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5486
Mailing Address - Country:US
Mailing Address - Phone:404-539-9529
Mailing Address - Fax:404-935-5136
Practice Address - Street 1:12600 DEERFIELD PKWY
Practice Address - Street 2:STE. 100
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-6108
Practice Address - Country:US
Practice Address - Phone:678-661-9539
Practice Address - Fax:404-935-5136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-18
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005232305R00000X
GAAPC003274305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization