Individual
LACAVA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 PONCE DE LEON AVE NE STE 300, ATLANTA, GA 30308-1864
(470) 897-2509
Mailing address
650 PONCE DE LEON AVE NE STE 300, ATLANTA, GA 30308-1864
(470) 897-2509
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC015751
GA
Other
Enumeration date
08/02/2025
Last updated
09/03/2025
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