Provider Demographics
NPI:1427604107
Name:POSTANOWICZ, PATRICIA (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:POSTANOWICZ
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 LIGHTFOOT CIR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-2091
Mailing Address - Country:US
Mailing Address - Phone:850-212-9630
Mailing Address - Fax:
Practice Address - Street 1:2876 JOHNSON FERRY RD STE 150
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8324
Practice Address - Country:US
Practice Address - Phone:770-361-7864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-17
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
GAMFT002165106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty