Provider Demographics
NPI:1194900217
Name:ROHAN, ELIZABETH ANNE (PHD, MSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANNE
Last Name:ROHAN
Suffix:
Gender:F
Credentials:PHD, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3390 PEACHTREE RD NE
Mailing Address - Street 2:SUITE 1102
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1157
Mailing Address - Country:US
Mailing Address - Phone:404-442-4440
Mailing Address - Fax:
Practice Address - Street 1:3390 PEACHTREE RD NE
Practice Address - Street 2:SUITE 1102
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1157
Practice Address - Country:US
Practice Address - Phone:404-442-4440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0033981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical