person
Mrs. Lydia Mae Roll, MS
Mental Health Counselor in Carrollton, Georgia
NPI 1912030164

Lydia Mae Roll is a Mental Health Counselor based in Villa Rica, GA and is specialized in Mental Health. Lydia Mae Roll practices in Carrollton, GA and has the professional credentials of MS. The NPI Number for Lydia Mae Roll is 1912030164 and holds a License No. 001520 (Georgia).

The current practice location address for Lydia Mae Roll is 106 E Center St, Carrollton, GA and can be reached out via phone at 770-639-3804 and via fax at 770-830-8322.

Location: 106 E Center St, Carrollton, GA, 30180-3969
person
Provider Profile Details
NPI Number
1912030164
Provider Name
Lydia Mae Roll
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
106 E Center St, Carrollton, GA, 30180-3969
Phone Number
770-639-3804
Fax Number
770-830-8322
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
321689374A 05 GA
institution
Provider Business Practice Location Address Details
Address
106 E Center St
City
State
Zip
30117-3303
Phone Number
770-639-3804
Fax Number
770-830-8322
person
Provider Business Mailing Address Details
Address
106 E Center St
City
State
Zip
30117-3303
Phone Number
770-639-3804
Fax Number
770-830-8322
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
001520 (Georgia)
Definition
Definition to come...
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