MEDICARE: MRS. ANA MARIA ANTUNES STORINO LPC, MA

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	101YP2500X	Professional Counselor	LPC011437	GA

General Provider Information

NPI Number	:	1770217838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANA MARIA ANTUNES STORINO LPC, MA

Provider Business Mailing Address
First Line	:	1285 LINDEN CT NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3601
Country	:	US
Telephone Number	:	404-635-8629
Fax Number	:

Provider Business Practice Location Address
First Line	:	3133 MAPLE DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-2505
Country	:	US
Telephone Number	:	404-635-8629
Fax Number	:

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

Provider Enumeration Date	:	07/14/2022
Last Update Date	:	07/14/2022

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Directions to “ MRS. ANA MARIA ANTUNES STORINO LPC, MA” Practice Location

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