Provider Demographics
NPI:1033359807
Name:GARVIN, ARTISETTA MARGARET (LPC)
Entity Type:Individual
Prefix:DR
First Name:ARTISETTA
Middle Name:MARGARET
Last Name:GARVIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 SCENIC HWY S
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-3115
Mailing Address - Country:US
Mailing Address - Phone:678-252-2181
Mailing Address - Fax:678-252-2183
Practice Address - Street 1:2330 SCENIC HWY S
Practice Address - Street 2:SUITE 301
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-3115
Practice Address - Country:US
Practice Address - Phone:678-252-2181
Practice Address - Fax:678-252-2183
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional