Doctor Name: | MISS OPAL HOPE MINOTT |
NPI Number: | 1003093030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CSW003893 |
Business Practice Address: | 3594 Chamblee Tucker Rd Atlanta, GA - 303414437 |
Business Phone Number: | 7703750479 |
Business Fax Number: | 6789854228 |
Mailing Address: | 1083 Simonton Hill Ct, LAWRENCEVILLE |
State: | GA |
Postal Code: | 300453531 |
Phone Number: | 7703750479 |
Fax Number: | 6789854228 |
NPI Enumeration Date: | 01/22/2008 |
NPI Last Update Date: | 01/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW003893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |