Provider Demographics
NPI:1700297603
Name:GILES, CORINA (LPC, RPT/S, CPCS)
Entity type:Individual
Prefix:
First Name:CORINA
Middle Name:
Last Name:GILES
Suffix:
Gender:F
Credentials:LPC, RPT/S, CPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1373 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30344-3423
Mailing Address - Country:US
Mailing Address - Phone:678-573-2970
Mailing Address - Fax:
Practice Address - Street 1:1373 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30344-3423
Practice Address - Country:US
Practice Address - Phone:678-573-2970
Practice Address - Fax:678-967-0963
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-13
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007618101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional