Provider Demographics
NPI:1083278808
Name:NGOEH, ROSELINE NGONDE (CMHC)
Entity type:Individual
Prefix:
First Name:ROSELINE
Middle Name:NGONDE
Last Name:NGOEH
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 NELLIE BROOK DR SW
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-4435
Mailing Address - Country:US
Mailing Address - Phone:404-984-0915
Mailing Address - Fax:
Practice Address - Street 1:54 NELLIE BROOK DR SW
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-4435
Practice Address - Country:US
Practice Address - Phone:404-984-0915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-26
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health