Individual
GAELLE LAURE ESSENAM GOUNTENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4125 ATLANTA RD SE STE 120, SMYRNA, GA 30080-6521
(770) 858-5377
Mailing address
PO BOX 726, ACWORTH, GA 30101-0726
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
RN270365
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN270365
LICENSE NUMBER
GA
Enumeration date
03/25/2022
Last updated
10/30/2025
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