Individual
MRS. LAVANYA DEVDAS MANGALORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1511 JOHNSON FERRY RD STE 125, MARIETTA, GA 30062-6403
(770) 703-9031
Mailing address
4350 CORLEY WAY, CUMMING, GA 30040-3228
(952) 201-5409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009198
GA
101YM0800X
Mental Health Counselor
Primary
LPC016384
GA
Other
Enumeration date
07/19/2023
Last updated
03/25/2026
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