Provider Demographics
NPI:1528446838
Name:PAIGE, DOROTHY (LPC)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:PAIGE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 WEATHERSTONE PL
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-0799
Mailing Address - Country:US
Mailing Address - Phone:404-640-5669
Mailing Address - Fax:404-640-5669
Practice Address - Street 1:402 WEATHERSTONE PL
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-0799
Practice Address - Country:US
Practice Address - Phone:678-640-5669
Practice Address - Fax:678-640-5669
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005134101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional