Provider Demographics
NPI:1023730744
Name:GEORGES, LAURIE-ANN MICHELLE (LMSW,MPH)
Entity type:Individual
Prefix:
First Name:LAURIE-ANN
Middle Name:MICHELLE
Last Name:GEORGES
Suffix:
Gender:F
Credentials:LMSW,MPH
Other - Prefix:
Other - First Name:LAURIE-ANN
Other - Middle Name:MICHELLE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2300 MARIE CURIE BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-5706
Mailing Address - Country:US
Mailing Address - Phone:469-797-2100
Mailing Address - Fax:
Practice Address - Street 1:2300 MARIE CURIE BOULEVARD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5706
Practice Address - Country:US
Practice Address - Phone:469-797-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55491104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker