Provider Demographics
NPI:1215294137
Name:SCHOLAR SPECIALIZED TREATMENT SERVICES
Entity type:Organization
Organization Name:SCHOLAR SPECIALIZED TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AUNGELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NORFLEET
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CSOTP
Authorized Official - Phone:678-712-9646
Mailing Address - Street 1:45 WELLSTONE PL
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-7076
Mailing Address - Country:US
Mailing Address - Phone:678-712-9646
Mailing Address - Fax:
Practice Address - Street 1:45 WELLSTONE PL
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-7076
Practice Address - Country:US
Practice Address - Phone:678-712-9646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-17
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health