Healthcare Provider Details

I. General information

NPI: 1558647347
Provider Name (Legal Business Name): ILANA TOVA WEEKS LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ILANA ZIMMERMAN

II. Dates (important events)

Enumeration Date: 10/25/2011
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E TRINITY PL
DECATUR GA
30030-3302
US

IV. Provider business mailing address

3567 SPLINTERWOOD RD
PEACHTREE CORNERS GA
30092-2713
US

V. Phone/Fax

Practice location:
  • Phone: 404-490-0332
  • Fax:
Mailing address:
  • Phone: 404-490-0332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC012869
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: