Provider Demographics
NPI:1780747246
Name:MUIR-MCCLAIN, LOIS (MA, LPC)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:
Last Name:MUIR-MCCLAIN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 CONNELL LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-6126
Mailing Address - Country:US
Mailing Address - Phone:404-201-2048
Mailing Address - Fax:
Practice Address - Street 1:1700 TREE LN
Practice Address - Street 2:SUITE 260
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6782
Practice Address - Country:US
Practice Address - Phone:770-736-7534
Practice Address - Fax:770-736-8627
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005522101YP2500X, 101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist