Provider Demographics
NPI:1942014600
Name:HOWORTH-FAIR, GEORGIA (MS, LMFT, LMHC)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:
Last Name:HOWORTH-FAIR
Suffix:
Gender:F
Credentials:MS, LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 LEE RD STE 218
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2106
Mailing Address - Country:US
Mailing Address - Phone:407-263-8977
Mailing Address - Fax:
Practice Address - Street 1:1850 LEE RD STE 218
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2106
Practice Address - Country:US
Practice Address - Phone:407-263-8977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1475106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist