Provider Demographics
NPI:1346334232
Name:OWENS, LORI GURINSKY (MSW, LCSW, CPRP)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:GURINSKY
Last Name:OWENS
Suffix:
Gender:F
Credentials:MSW, LCSW, CPRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5292 MARSTON RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30360-1219
Mailing Address - Country:US
Mailing Address - Phone:404-247-2504
Mailing Address - Fax:
Practice Address - Street 1:5555 GLENRIDGE CONNECTOR NE
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4759
Practice Address - Country:US
Practice Address - Phone:404-247-2504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGACSW0033491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical