Provider Demographics
NPI:1013757368
Name:ABLES, LAUREL KRYSTAL
Entity type:Individual
Prefix:
First Name:LAUREL
Middle Name:KRYSTAL
Last Name:ABLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13108 MAGNOLIA POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-9077
Mailing Address - Country:US
Mailing Address - Phone:470-886-3396
Mailing Address - Fax:
Practice Address - Street 1:13108 MAGNOLIA POINTE BLVD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-9077
Practice Address - Country:US
Practice Address - Phone:470-886-3396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician