Provider Demographics
NPI:1346342987
Name:LEMIEUX, NORMAN ARTHUR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:ARTHUR
Last Name:LEMIEUX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5099
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-5099
Mailing Address - Country:US
Mailing Address - Phone:912-882-3662
Mailing Address - Fax:912-882-7720
Practice Address - Street 1:10545 COLERAIN RD
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-3720
Practice Address - Country:US
Practice Address - Phone:912-882-3662
Practice Address - Fax:912-882-7720
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0001821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA10753149OtherCAQH
GA10753149OtherCAQH
GA80BBBFMMedicare ID - Type Unspecified