| Tara Coppola Lcsw Inc | |
|
370 Prospect Pl Alpharetta GA 30005-5467 | |
| (678) 488-1476 | |
| (678) 608-3827 |
| Full Name | Tara Coppola Lcsw Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 370 Prospect Pl, Alpharetta, Georgia |
| Authorized Official Name and Position | Tara Coppola (PRINCIPAL) |
| Authorized Official Contact | 6784881476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Coppola Lcsw Inc 3235 Ennfield Ln Duluth GA 30096-7721 Ph: (678) 488-1476 | Tara Coppola Lcsw Inc 370 Prospect Pl Alpharetta GA 30005-5467 Ph: (678) 488-1476 |
| NPI Number | 1861650996 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861650996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003058 (Georgia) | Primary |
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