Doctor Name: | LOUTINA RENA MURRELL |
NPI Number: | 1346413101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MSW002771 |
Business Practice Address: | 6859 Slate Stone Way Se Suite 3-c Mableton, GA - 301265469 |
Business Phone Number: | 4042450659 |
Business Fax Number: | 6788021970 |
Mailing Address: | 6859 Slate Stone Way Se, Suite 3-c MABLETON |
State: | GA |
Postal Code: | 301265469 |
Phone Number: | 4042450659 |
Fax Number: | 6788021970 |
NPI Enumeration Date: | 04/11/2008 |
NPI Last Update Date: | 04/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | MSW002771 |
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 |