Search › Georgia › 1041C0700X
Brandy Porter, LCSW, CAADC
NPI 1982078382 · on the registry since 2015
Practice
- Address
- 5905 Stewart Pkwy
Douglasville, GA 30135 - Phone
- (770) 949-8082
- Organisation at this address
- Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 5013 Wrightsville Ave, Wilmington, NC
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-21
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