Provider Demographics
NPI:1912719816
Name:CATES, NAOMI REBECCA (LAPC)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:REBECCA
Last Name:CATES
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 WRAY MINE RD
Mailing Address - Street 2:
Mailing Address - City:BUCHANAN
Mailing Address - State:GA
Mailing Address - Zip Code:30113-2028
Mailing Address - Country:US
Mailing Address - Phone:770-324-7281
Mailing Address - Fax:
Practice Address - Street 1:245 COUNTRY CLUB DR BLDG 100A
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7216
Practice Address - Country:US
Practice Address - Phone:470-878-1359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC010067101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional