Provider Demographics
NPI:1851437586
Name:FAUST, BILLIE JEAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BILLIE
Middle Name:JEAN
Last Name:FAUST
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 1:521 ROCKBRIDGE RD NW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-6026
Mailing Address - Country:US
Mailing Address - Phone:770-921-4256
Mailing Address - Fax:
Practice Address - Street 1:375 ROCKBRIDGE RD NW
Practice Address - Street 2:SUITE 172-184
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-8225
Practice Address - Country:US
Practice Address - Phone:770-921-4256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004720101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional