MEDICARE: MRS. JOAN ROSEN FUNK LCSW, PHD

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	101YM0800X	Mental Health Counselor	2669	GA

General Provider Information

NPI Number	:	1083614671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOAN ROSEN FUNK LCSW, PHD

Provider Business Mailing Address
First Line	:	1640 POWERS FERRY RD
Second Line	:	BLDG 17 STE 100
City	:	MARIETTA
State	:	GEORGIA
Zip	:	30067
Country	:	CC
Telephone Number	:	770-426-9929
Fax Number	:	770-426-8293

Provider Business Practice Location Address
First Line	:	1640 POWERS FERRY RD
Second Line	:	BLDG 17 STE 100
City	:	MARIETTA
State	:	GA
Zip	:	30067-5491
Country	:	US
Telephone Number	:	770-426-9929
Fax Number	:	770-426-8293

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	07/26/2011

Similar Medicare Providers

1013865096 — HOLLY WRIGHT
Practice Location Address:

1640 POWERS FERRY RD SE STE 100
MARIETTA, GA
30067-5491

Practice Phone: 404-362-7442
Practice Fax:

1770431421 — TANAIYA MURRAY
Practice Location Address:

1640 POWERS FERRY RD SE BLDG 6
MARIETTA, GA
30067-5491

Practice Phone: 888-880-9270
Practice Fax:

1730036690 — CRYSTAL LANETTE JOHNSON
Practice Location Address:

1640 POWERS FERRY RD SE
MARIETTA, GA
30067-5491

Practice Phone: 847-372-1361
Practice Fax:

1962358663 — RESEARCH COMMUNITY CARE OF GEORGIA LLC
Practice Location Address:

1640 POWERS FERRY RD SE STE 200
MARIETTA, GA
30067-5491

Practice Phone: 919-706-7160
Practice Fax:

1457348260 — MS. LYDIA J CANTY LPC, NCC
Practice Location Address:

1640 POWERS FERRY RD , BLDG 9, SUITE100
MARIETTA, GA
30067-5491

Practice Phone: 770-953-0080
Practice Fax:

1295714442 — COLLEEN L HAGAN
Practice Location Address:

1640 POWERS FERRY RD , BLDG 29, STE 350
MARIETTA, GA
30067-5491

Practice Phone: 770-956-9212
Practice Fax: 770-956-9218

Directions to “ MRS. JOAN ROSEN FUNK LCSW, PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.