Provider Demographics
NPI:1982626875
Name:GUNN, MARGARET IRENE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:IRENE
Last Name:GUNN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17B LENOX POINTE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3171
Mailing Address - Country:US
Mailing Address - Phone:404-231-0404
Mailing Address - Fax:404-371-8035
Practice Address - Street 1:17B LENOX POINTE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3171
Practice Address - Country:US
Practice Address - Phone:404-231-0404
Practice Address - Fax:404-371-8035
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001728101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAS46335Medicare UPIN
GA80BBDQCMedicare ID - Type Unspecified