Doctor Name: | MS. MARCENIA LARENA PAYNE |
NPI Number: | 1861699209 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | MSW004203 |
Business Practice Address: | 2380 Delowe Dr Suite 1 East Point, GA - 303442154 |
Business Phone Number: | 4047617915 |
Business Fax Number: | 4047612784 |
Mailing Address: | 399 Langshire Dr, MCDONOUGH |
State: | GA |
Postal Code: | 302538051 |
Phone Number: | 6782890713 |
Fax Number: | 8792899582 |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MSW004203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |