Provider Demographics
NPI:1306562715
Name:JORDAN, ATURA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ATURA
Middle Name:
Last Name:JORDAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 HILLTOP LN APT 4B
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30513-7203
Mailing Address - Country:US
Mailing Address - Phone:706-455-7067
Mailing Address - Fax:678-944-8197
Practice Address - Street 1:27 S MAIN ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-1600
Practice Address - Country:US
Practice Address - Phone:706-455-7067
Practice Address - Fax:770-585-0001
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-17
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0081971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical