Healthcare Provider Details

I. General information

NPI: 1972251148
Provider Name (Legal Business Name): JULIANNA ZELLNER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIANNA ROBINSON

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 FLINT RIDGE DR SE
MABLETON GA
30126-1466
US

IV. Provider business mailing address

17 FLINT RIDGE DR SE
MABLETON GA
30126-1466
US

V. Phone/Fax

Practice location:
  • Phone: 513-582-9585
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number008011
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: