LANCE MADOW
NPI 1023797693
Counselor - Mental Health in Atlanta, GA

The NPI number for Lance Madow is 1023797693. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Lance Madow was last updated on July 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2023

3495 PIEDMONT RD NE, BUILDING 10, SUITE 100, ATLANTA, GA 30305(770) 758-7817 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lance Madow NPPES

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

LANCE MADOW (NPI 1023797693) is an individual mental health provider in Atlanta, Georgia and active in the NPI registry since July 2023.

NPI1023797693

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameLANCE MADOW

Location Address3495 PIEDMONT RD NE, BUILDING 10, SUITE 100Atlanta, GA 30305

Mailing Address245 E Trinity Pl Unit 1423Decatur, GA 30030-3493 · (727) 916-2257

Sole ProprietorNo

Enumeration DateJuly 12, 2023

NPPES CertifiedJuly 12, 2023

✔ NPI 1023797693 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3495 PIEDMONT RD NE, Atlanta, GA 30305

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist