Provider Demographics
NPI:1457529919
Name:RUBIN, ELAINE SOBELSON (MED, LMFT, LPC)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:SOBELSON
Last Name:RUBIN
Suffix:
Gender:F
Credentials:MED, LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11B LENOX POINTE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3171
Mailing Address - Country:US
Mailing Address - Phone:404-261-0272
Mailing Address - Fax:
Practice Address - Street 1:11B LENOX POINTE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3171
Practice Address - Country:US
Practice Address - Phone:404-261-0272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA587106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist