Provider Demographics
NPI:1538427646
Name:MILLAY, LAURA ZIEMER (LCSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ZIEMER
Last Name:MILLAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ELIZABETH
Other - Last Name:ZIEMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3535 PEACHTREE RD NE STE 520-544
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-3287
Mailing Address - Country:US
Mailing Address - Phone:678-310-4584
Mailing Address - Fax:
Practice Address - Street 1:3535 PEACHTREE RD NE STE 520-544
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-3287
Practice Address - Country:US
Practice Address - Phone:678-310-4584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-26
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0083741041C0700X
1041C0700X
GACSW0077861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical