Provider Demographics
NPI:1083362420
Name:UWAMAHORO, OLIVIA (PHD, NCC, LPC, CPCS)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:
Last Name:UWAMAHORO
Suffix:
Gender:F
Credentials:PHD, NCC, LPC, CPCS
Other - Prefix:DR
Other - First Name:OLIVIA
Other - Middle Name:UWAMAHORO
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, NCC, LPC, CPCS
Mailing Address - Street 1:510 THUNDER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-2277
Mailing Address - Country:US
Mailing Address - Phone:901-827-2746
Mailing Address - Fax:
Practice Address - Street 1:510 THUNDER RIDGE DR
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-2277
Practice Address - Country:US
Practice Address - Phone:901-827-2746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010719101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional