person
Georgiana Bagley, LPC
Professional Counselor in Atlanta, Georgia
NPI 1770720690

Georgiana Bagley is a Professional Counselor based in Atlanta, GA and is specialized in Professional. Georgiana Bagley practices in Atlanta, GA and has the professional credentials of LPC. The NPI Number for Georgiana Bagley is 1770720690 and holds a License No. LA001132 (Georgia).

The current practice location address for Georgiana Bagley is 2245 Godby Rd Ste 206, Atlanta, GA and can be reached out via phone at 404-968-4662 and via fax at 404-968-4582.

Location: 2245 Godby Rd Ste 206, Atlanta, GA, 30349-5061
person
Provider Profile Details
NPI Number
1770720690
Provider Name
Georgiana Bagley
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2245 Godby Rd Ste 206, Atlanta, GA, 30349-5061
Phone Number
404-968-4662
Fax Number
404-968-4582
Provider Enumeration Date
01/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
503205308A 05 GA
institution
Provider Business Practice Location Address Details
Address
2245 Godby Rd Ste 206
City
State
Zip
30349-5061
Phone Number
404-968-4662
Fax Number
404-968-4582
person
Provider Business Mailing Address Details
Address
2245 Godby Rd Ste 206
City
State
Zip
30349-5061
Phone Number
404-968-4662
Fax Number
404-968-4582
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LA001132 (Georgia)
Definition
Definition to come...
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