Provider Demographics
NPI:1467508762
Name:SAMSKY, LANA (MSW)
Entity type:Individual
Prefix:MRS
First Name:LANA
Middle Name:
Last Name:SAMSKY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3949 HOLCOMB BRIDGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2207
Mailing Address - Country:US
Mailing Address - Phone:770-441-9158
Mailing Address - Fax:770-393-4068
Practice Address - Street 1:3949 HOLCOMB BRIDGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-2207
Practice Address - Country:US
Practice Address - Phone:770-441-9158
Practice Address - Fax:770-393-4068
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA228101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA80BBDCGMedicare ID - Type Unspecified