Doctor Name: | LAURA MACHADO |
NPI Number: | 1093032054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAPC |
License Number: | |
Business Practice Address: | 6020 Dawson Blvd Suite I Norcross, GA - 300931225 |
Business Phone Number: | 7706620249 |
Business Fax Number: | 7704495023 |
Mailing Address: | 938 Pierce Ivy Ct, LAWRENCEVILLE |
State: | GA |
Postal Code: | 300431316 |
Phone Number: | 7706620249 |
Fax Number: | 7704495023 |
NPI Enumeration Date: | 04/29/2010 |
NPI Last Update Date: | 04/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |