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NPI Code Detail

MEDICARE: STEPHANIE FOXMAN

MEDICARE: STEPHANIE FOXMAN
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
1101YP2500XProfessional CounselorAPC004529GA
2101YP2500XProfessional CounselorLPC009742GA

General Provider Information

NPI Number : 1225430267
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE FOXMAN
Provider Business Mailing Address
First Line : 983 EMORY PARC PL
Second Line :
City : DECATUR
State : GA
Zip : 30033-4058
Country : US
Telephone Number : 404-236-9607
Fax Number :
Provider Business Practice Location Address
First Line : 2751 BUFORD HWY NE STE 700
Second Line :
City : ATLANTA
State : GA
Zip : 30324-5510
Country : US
Telephone Number : 404-236-9607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2014
Last Update Date : 04/09/2020

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Directions to “ STEPHANIE FOXMAN ” Practice Location

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