Provider Demographics
NPI:1659901452
Name:MS. GUITY, LCSW. LLC
Entity Type:Organization
Organization Name:MS. GUITY, LCSW. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NYDIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GUITY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-726-5970
Mailing Address - Street 1:2905 E POINT ST # 90328
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-4202
Mailing Address - Country:US
Mailing Address - Phone:646-726-5970
Mailing Address - Fax:
Practice Address - Street 1:2636 MARTIN LUTHER KING JR DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-1634
Practice Address - Country:US
Practice Address - Phone:646-726-5970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service