Provider Demographics
NPI:1740004399
Name:TESTANI, MARGARET
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:TESTANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 BIRCHWOOD DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-3822
Mailing Address - Country:US
Mailing Address - Phone:404-964-2214
Mailing Address - Fax:
Practice Address - Street 1:2964 PEACHTREE RD NW STE 760
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2220
Practice Address - Country:US
Practice Address - Phone:404-964-2214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
GAAPC010162101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAAPC010162OtherGEORGIA SEC. OF STATE