Provider Demographics
NPI:1356390587
Name:GARVIN, CARLA Y (LPC)
Entity type:Individual
Prefix:MS
First Name:CARLA
Middle Name:Y
Last Name:GARVIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:CARLA
Other - Middle Name:Y
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4150 SNAPFINGER WOODS DR STE 208
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-3417
Mailing Address - Country:US
Mailing Address - Phone:470-225-6050
Mailing Address - Fax:470-419-4816
Practice Address - Street 1:4150 SNAPFINGER WOODS DR STE 208
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-3417
Practice Address - Country:US
Practice Address - Phone:470-225-6050
Practice Address - Fax:470-819-4816
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-06
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4696101YP2500X
GALPC004621101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional