Provider Demographics
NPI:1770994576
Name:MUNOZ, LINA MARCELA (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:LINA
Middle Name:MARCELA
Last Name:MUNOZ
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Gender:F
Credentials:PHD, LCSW
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Mailing Address - Street 1:2520 WINDY HILL RD SE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8664
Mailing Address - Country:US
Mailing Address - Phone:770-953-6401
Mailing Address - Fax:770-953-6015
Practice Address - Street 1:2520 WINDY HILL RD SE
Practice Address - Street 2:SUITE 203
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8664
Practice Address - Country:US
Practice Address - Phone:770-953-6401
Practice Address - Fax:770-953-6015
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2015-07-15
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Provider Licenses
StateLicense IDTaxonomies
IL1490165921041C0700X
GACSW0055521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical