Provider Demographics
NPI:1861090268
Name:LABRIOLA, CLAIRE (APC)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:LABRIOLA
Suffix:
Gender:F
Credentials:APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 637
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-0637
Mailing Address - Country:US
Mailing Address - Phone:678-852-5966
Mailing Address - Fax:
Practice Address - Street 1:650 BIRDIE RD
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-6309
Practice Address - Country:US
Practice Address - Phone:678-852-5966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007628101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health