Laura Russell, LLPC

NPI 1679818074 · on the registry since 2012 · sole proprietor

Practice

Address: 29 Millard Farmer Ind Blvd
Suite B1
Newnan, GA 30263
Phone: (678) 435-9949
Organisation at this address: One Life Ems Llc
Gathering Wellness Collaborative Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Also registered as: 101YM0800X
Licence states on file: MI, GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia