Provider Demographics
NPI:1235651142
Name:NELLUVAI PARAMESWARAN, RAJALAKSHMI (LPC)
Entity Type:Individual
Prefix:
First Name:RAJALAKSHMI
Middle Name:
Last Name:NELLUVAI PARAMESWARAN
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 1:223 ESTUARY TRL
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3031
Mailing Address - Country:US
Mailing Address - Phone:404-769-6754
Mailing Address - Fax:
Practice Address - Street 1:2450 ATLANTA HWY STE 1401
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-1277
Practice Address - Country:US
Practice Address - Phone:404-224-4708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008869101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional