| Doctor Name: | LORI W BURNS |
| NPI Number: | 1104971894 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC003919 |
| Business Practice Address: | 302 E Ogeechee St Sylvania, GA - 304672403 |
| Business Phone Number: | 9125647825 |
| Business Fax Number: | 9125645778 |
| Mailing Address: | 223 N. Anderson Drive, P O Box 1259 SWAINSBORO |
| State: | GA |
| Postal Code: | 30401 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC003919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |