Provider Demographics
NPI:1619532256
Name:JANI, SURABHI (LMFT)
Entity type:Individual
Prefix:
First Name:SURABHI
Middle Name:
Last Name:JANI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:987 BRIARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-3396
Mailing Address - Country:US
Mailing Address - Phone:404-274-0059
Mailing Address - Fax:
Practice Address - Street 1:987 BRIARBERRY LN
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30296-3396
Practice Address - Country:US
Practice Address - Phone:404-274-0059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-09
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001657106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist