Healthcare Provider Details

I. General information

NPI: 1134049323
Provider Name (Legal Business Name): STEPHANIE TOPAZI MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2376 MAIN ST
TUCKER GA
30084-4492
US

IV. Provider business mailing address

7745 JANANN WAY
SANDY SPRINGS GA
30350-1114
US

V. Phone/Fax

Practice location:
  • Phone: 470-441-4656
  • Fax:
Mailing address:
  • Phone: 404-934-7002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: