| Doctor Name: | TAO LANITA BARTLESON-MOSLEY |
| NPI Number: | 1053644682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | CSW004638 |
| Business Practice Address: | 1000 Chastain Rd Nw # 5300 Kennesaw, GA - 301445588 |
| Business Phone Number: | 6786540996 |
| Business Fax Number: | |
| Mailing Address: | 1000 Chastain Rd Nw, KENNESAW |
| State: | GA |
| Postal Code: | 301445588 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2009 |
| NPI Last Update Date: | 09/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW004638 |
| 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 |