| Doctor Name: | MRS. LIZA MORAN FERNANDEZ |
| NPI Number: | 1013047653 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | CSW002573 |
| Business Practice Address: | 120 Handley Rd Ste 310 Tyrone, GA - 302902173 |
| Business Phone Number: | 4046449244 |
| Business Fax Number: | 7706326351 |
| Mailing Address: | 104 Kimmer Rd, PEACHTREE CITY |
| State: | GA |
| Postal Code: | 302693633 |
| Phone Number: | 4046449244 |
| Fax Number: | |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 03/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW002573 |
| 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 |