Lewis Ponzo is a Counselor based in Snellville, GA. Lewis Ponzo practices in Decatur, GA. The NPI Number for Lewis Ponzo is 1821621533 and holds a License No. (Georgia).
The current practice location address for Lewis Ponzo is 315 W Ponce De Leon Ave, Decatur, GA and can be reached out via phone at 770-609-6976.
Location: 315 W Ponce De Leon Ave, Decatur, GA, 30039-2720
Provider Profile Details
NPI Number
1821621533
Provider Name
Lewis Ponzo
Credential
Provider Entity Type
Individual
Gender
Male
Address
315 W Ponce De Leon Ave, Decatur, GA, 30039-2720
Phone Number
770-609-6976
Fax Number
Provider Enumeration Date
02/20/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01251982 | 05 | GA |
Provider Business Practice Location Address Details
Address
315 W Ponce De Leon Ave
City
State
Zip
30030-2400
Phone Number
770-609-6976
Fax Number
Provider Business Mailing Address Details
Address
315 W Ponce De Leon Ave
City
State
Zip
30030-2400
Phone Number
770-609-6976
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
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's degree and clinical experience and supervision for licensure or certification.
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