Provider Demographics
NPI:1710160502
Name:PIUTAU, LYDIA (LCSW)
Entity type:Individual
Prefix:
First Name:LYDIA
Middle Name:
Last Name:PIUTAU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LYDIA
Other - Middle Name:GARNER
Other - Last Name:ZVENYIKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5556 ATLANTA HWY STE 3A
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-3552
Mailing Address - Country:US
Mailing Address - Phone:808-319-0023
Mailing Address - Fax:
Practice Address - Street 1:5556 ATLANTA HWY STE 3A
Practice Address - Street 2:
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542-3552
Practice Address - Country:US
Practice Address - Phone:808-319-0023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty