Provider Information for 1417449554
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LASHONDA KNOX LCSW
Sex: Female
Certification Date: 2024-10-24
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1417449554 | ||||||||
| Enumeration Date | 2018-06-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 740015 ATLANTA, GA 30374-0015 United States Phone: 312-733-9730 | Fax:773-866-8014 | ||||||||
| Primary Practice Address | 2732 CANDLER RD DECATUR, GA 30034-1410 United States Phone: 470-444-3133 | Fax:470-276-4051 | ||||||||
| Secondary Practice Address(es) | 1116 BIRCH ST SW 1825 ROCKBRIDGE RD STE 15B 3088 WASHINGTON RD 1631 GORDON HWY STE 17A 7028 HIGHWAY 85 1263 MORELAND AVE SE 677 CASCADE AVE SW 625 S MARIETTA PKWY SE | ||||||||
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