Provider Demographics
NPI:1326413048
Name:MAGALHAES, ROSSANA LORENTZ (MS-EDS)
Entity Type:Individual
Prefix:
First Name:ROSSANA
Middle Name:LORENTZ
Last Name:MAGALHAES
Suffix:
Gender:F
Credentials:MS-EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BROOKGLEN CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2758
Mailing Address - Country:US
Mailing Address - Phone:336-543-6624
Mailing Address - Fax:
Practice Address - Street 1:234C E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2704
Practice Address - Country:US
Practice Address - Phone:336-899-8800
Practice Address - Fax:336-899-8811
Is Sole Proprietor?:No
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11844101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor