MEDICARE: MS. LAURA ARCURAGI BRENES LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	LPC007454	GA

General Provider Information

NPI Number	:	1568733376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA ARCURAGI BRENES LPC

Provider Business Mailing Address
First Line	:	5885 CUMMING HWY STE 108-203
Second Line	:
City	:	SUGAR HILL
State	:	GA
Zip	:	30518-5765
Country	:	US
Telephone Number	:	678-327-7102
Fax Number	:

Provider Business Practice Location Address
First Line	:	5885 CUMMING HWY STE 108-203
Second Line	:
City	:	SUGAR HILL
State	:	GA
Zip	:	30518-5765
Country	:	US
Telephone Number	:	678-327-7102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2012
Last Update Date	:	01/23/2023

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