Provider Demographics
NPI:1659933935
Name:AMOSS, MARGARET (LPC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:AMOSS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3670 COCHRAN RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-3635
Mailing Address - Country:US
Mailing Address - Phone:678-367-5852
Mailing Address - Fax:
Practice Address - Street 1:322 SPRING ST SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3736
Practice Address - Country:US
Practice Address - Phone:770-539-9669
Practice Address - Fax:770-539-9522
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008436101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional