Provider Demographics
NPI:1194093617
Name:REES, GRETCHEN EMILY (LCSW)
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:EMILY
Last Name:REES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:EMILY
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:399 BASS ST SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-1450
Mailing Address - Country:US
Mailing Address - Phone:512-626-2533
Mailing Address - Fax:
Practice Address - Street 1:1328 PEACHTREE ST NE # B317
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3209
Practice Address - Country:US
Practice Address - Phone:404-228-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX533191041C0700X
GA0081541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical