Provider Demographics
NPI:1356543672
Name:LEAMY, ELIZABETH A (LPC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:LEAMY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:BETSY
Other - Middle Name:
Other - Last Name:LEAMY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1209 ROCKMART CIR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-5179
Mailing Address - Country:US
Mailing Address - Phone:404-272-8383
Mailing Address - Fax:
Practice Address - Street 1:2255 CUMBERLAND PKWY SE
Practice Address - Street 2:BLDG. 500, STE. 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-4515
Practice Address - Country:US
Practice Address - Phone:404-272-8383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004324101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor