Provider Demographics
NPI:1285824144
Name:FALBERG, LARA (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:LARA
Middle Name:
Last Name:FALBERG
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3951 SNAPFINGER PKWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-3202
Mailing Address - Country:US
Mailing Address - Phone:404-289-7888
Mailing Address - Fax:404-289-5577
Practice Address - Street 1:3951 SNAPFINGER PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-3202
Practice Address - Country:US
Practice Address - Phone:404-289-7888
Practice Address - Fax:404-289-5577
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW002695101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health