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SHONDA P DALLAS LPC
NPI 1003176363
Counselor - Professional in Fairburn, GA

Active since May 21, 2012
324 BREEZE MDW, FAIRBURN, GA 30213(770) 597-9746(678) 834-5154 Get Directions Write a Review

NPPES record last updated: August 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shonda P Dallas Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHONDA P DALLAS LPC (NPI 1003176363) is an individual professional provider in Fairburn, Georgia, licensed in Georgia (006206) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1003176363
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHONDA P DALLASCredential: LPC
Location Address324 BREEZE MDWFairburn, GA 30213-6054
Mailing Address324 Breeze MdwFairburn, GA 30213-6054 · (770) 597-9746 · Fax (678) 834-5154
Phone(770) 597-9746
Fax(678) 834-5154
Sole ProprietorYes
Enumeration DateMay 21, 2012
Last NPPES UpdateAugust 8, 2020
NPPES CertifiedAugust 8, 2020
✔ NPI 1003176363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 006206
324 BREEZE MDW, Fairburn, GA 30213
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shonda Dallas's NPI number?

The NPI number for Shonda Dallas is 1003176363. It was assigned to this individual provider in the NPPES registry on May 21, 2012.

Where is Shonda Dallas located?

Shonda Dallas practices at 324 Breeze Mdw, Fairburn, GA 30213. The listed phone number is (770) 597-9746.

What is Shonda Dallas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shonda Dallas was last updated on August 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.