Provider Demographics
NPI:1356509376
Name:ELGUINDI, FOROOGH (MS)
Entity Type:Individual
Prefix:MS
First Name:FOROOGH
Middle Name:
Last Name:ELGUINDI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5123 DANIELL MILL RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30187-1362
Mailing Address - Country:US
Mailing Address - Phone:770-757-5309
Mailing Address - Fax:770-489-0406
Practice Address - Street 1:5123 DANIELL MILL ROAD
Practice Address - Street 2:
Practice Address - City:WINSTON
Practice Address - State:GA
Practice Address - Zip Code:30187-1362
Practice Address - Country:US
Practice Address - Phone:770-757-5309
Practice Address - Fax:770-489-0406
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2536101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional