Healthcare Provider Details

I. General information

NPI: 1114549458
Provider Name (Legal Business Name): FRANCES CARANTO GUMIENNY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2020
Last Update Date: 03/18/2023
Certification Date: 03/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3740 CLINE DR SE
SMYRNA GA
30082-3112
US

IV. Provider business mailing address

3740 CLINE DR SE
SMYRNA GA
30082-3112
US

V. Phone/Fax

Practice location:
  • Phone: 678-401-7235
  • Fax:
Mailing address:
  • Phone: 678-467-2858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number136543
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number003390
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: