Provider Demographics
NPI:1669717047
Name:AUSTIN-COLE, LORI A (LAPC, NCC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:AUSTIN-COLE
Suffix:
Gender:F
Credentials:LAPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 SPALDING TRL NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-1071
Mailing Address - Country:US
Mailing Address - Phone:404-610-1868
Mailing Address - Fax:
Practice Address - Street 1:248 SPALDING TRL NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-1071
Practice Address - Country:US
Practice Address - Phone:404-610-1868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC002967101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health