Provider Demographics
NPI:1548855596
Name:PARIS, CONSTANCE MARIS (LCSW)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:MARIS
Last Name:PARIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 TURTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-8391
Mailing Address - Country:US
Mailing Address - Phone:404-993-2666
Mailing Address - Fax:
Practice Address - Street 1:385 TURTLE CREEK DR
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-8391
Practice Address - Country:US
Practice Address - Phone:404-993-2666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0066501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical