Provider Demographics
NPI:1811582984
Name:WEINSTEIN, AURELIE (PHD, MA, LPC)
Entity Type:Individual
Prefix:DR
First Name:AURELIE
Middle Name:
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:PHD, MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4408 COLUMNS DR SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-4729
Mailing Address - Country:US
Mailing Address - Phone:404-219-7320
Mailing Address - Fax:
Practice Address - Street 1:6100 LAKE FORREST DR STE 450
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3837
Practice Address - Country:US
Practice Address - Phone:678-379-7825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC0136698101YM0800X
GAAPC007771101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALPC0136698OtherLICENSED PROFESSIONAL COUNSELOR
GAAPC007771OtherASSOCIATE PROFESSIONAL COUNSELOR