Doctor Name: | DR. LATOYA NELSON |
NPI Number: | 1588917348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDD, LPC, CAMS |
License Number: | |
Business Practice Address: | 1218 Fairburn Rd Sw Suite 102 Atlanta, GA - 303312117 |
Business Phone Number: | 6787553443 |
Business Fax Number: | 7069933295 |
Mailing Address: | 1218 Fairburn Rd Sw, Suite 102 ATLANTA |
State: | GA |
Postal Code: | 303312117 |
Phone Number: | 6787553443 |
Fax Number: | 7069933295 |
NPI Enumeration Date: | 10/17/2012 |
NPI Last Update Date: | 05/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |