NPI 1003176363 SHONDA P DALLAS LPC NEWNAN GA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Shonda P Dallas - NPI: 1003176363

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: SHONDA P DALLAS
NPI Number: 1003176363
Entity Type Code: Individual (1)
Gender: F
Credentials: LPC
License Number: 006206
Business Practice Address: 3445 Buffington Ctr
Atlanta, GA - 303492941
Business Phone Number: 4049684662
Business Fax Number: 4049684562
Mailing Address: 375 Windermere Cir,
NEWNAN
State: GA
Postal Code: 302652278
Phone Number: 4049684662
Fax Number: 4049684562
NPI Enumeration Date: 05/21/2012
NPI Last Update Date: 05/21/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YP2500X
License Number: 006206
Healthcare Provider Taxonomy:
(Secondary)
Y
State: GA
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Professional
Taxonomy Definition:


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