Provider Demographics
NPI:1770217838
Name:STORINO, ANA MARIA ANTUNES (LPC, MA)
Entity Type:Individual
Prefix:MRS
First Name:ANA MARIA
Middle Name:ANTUNES
Last Name:STORINO
Suffix:
Gender:F
Credentials:LPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 LINDEN CT NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-3601
Mailing Address - Country:US
Mailing Address - Phone:404-635-8629
Mailing Address - Fax:
Practice Address - Street 1:3133 MAPLE DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2505
Practice Address - Country:US
Practice Address - Phone:404-635-8629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011437101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional