Provider Demographics
NPI:1316310428
Name:SBZ SERVICES UNLIMITED
Entity type:Organization
Organization Name:SBZ SERVICES UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:BRYANT
Authorized Official - Last Name:ZELLNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-432-3330
Mailing Address - Street 1:708 W TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223-2720
Mailing Address - Country:US
Mailing Address - Phone:678-572-4822
Mailing Address - Fax:544-259-9502
Practice Address - Street 1:708 W TAYLOR ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-2720
Practice Address - Country:US
Practice Address - Phone:678-572-4822
Practice Address - Fax:544-259-9502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004347251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health