| Doctor Name: | MS. STEPHANIE LEIGH BISHOP-COLLUM |
| NPI Number: | 1326136508 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | CSW002537 |
| Business Practice Address: | 180 Water Oak Dr Cedartown, GA - 301252095 |
| Business Phone Number: | 7707482225 |
| Business Fax Number: | 7707490939 |
| Mailing Address: | 1401 Applewood Dr, Suite 1 DALTON |
| State: | GA |
| Postal Code: | 307202699 |
| Phone Number: | 7062705002 |
| Fax Number: | 7062705111 |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 08/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW002537 |
| 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 |