MEDICARE: TONI F MONROE 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	101YP2500X	Professional Counselor	LPC013125	GA

General Provider Information

NPI Number	:	1982388245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONI F MONROE LPC

Provider Business Mailing Address
First Line	:	119 S 10TH ST
Second Line	:
City	:	GRIFFIN
State	:	GA
Zip	:	30223-2805
Country	:	US
Telephone Number	:	770-374-0225
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 CADIZ LN N
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-4622
Country	:	US
Telephone Number	:	770-374-0225
Fax Number	:

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

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	06/14/2023

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Directions to “ TONI F MONROE LPC” Practice Location

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