Provider Demographics
NPI:1356732945
Name:GIUNTA, RAYMOND THOMAS (LCSW-QS)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:THOMAS
Last Name:GIUNTA
Suffix:
Gender:M
Credentials:LCSW-QS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 WET STONE RD
Mailing Address - Street 2:
Mailing Address - City:SENOIA
Mailing Address - State:GA
Mailing Address - Zip Code:30276-2232
Mailing Address - Country:US
Mailing Address - Phone:702-336-4480
Mailing Address - Fax:
Practice Address - Street 1:125 WET STONE RD
Practice Address - Street 2:
Practice Address - City:SENOIA
Practice Address - State:GA
Practice Address - Zip Code:30276-2232
Practice Address - Country:US
Practice Address - Phone:702-336-4480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW137551041C0700X
GACSW0062281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical