Provider Demographics
NPI:1356062327
Name:MINIS, MARGARET AMELIA (LPC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:AMELIA
Last Name:MINIS
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:PO BOX 13034
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-0034
Mailing Address - Country:US
Mailing Address - Phone:912-200-7674
Mailing Address - Fax:
Practice Address - Street 1:7805 WATERS AVE STE 2B
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2443
Practice Address - Country:US
Practice Address - Phone:912-200-7674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013030101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional