Provider Demographics
NPI:1275557993
Name:ROBERTS, MARGIE ENGLISH (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARGIE
Middle Name:ENGLISH
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 JEFF DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-1186
Mailing Address - Country:US
Mailing Address - Phone:706-648-3820
Mailing Address - Fax:706-648-3820
Practice Address - Street 1:1019 JEFF DAVIS RD
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-1186
Practice Address - Country:US
Practice Address - Phone:706-648-3820
Practice Address - Fax:706-648-3820
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003192101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional