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MICHELLE KN ENNIS
NPI 1114880093
Counselor in Dacula, GA

Active since December 08, 2025
3960 GREENSIDE CT, DACULA, GA 30019(678) 469-2872 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Kn Ennis NPPES

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

MICHELLE KN ENNIS (NPI 1114880093) is an individual counselor in Dacula, Georgia, licensed in Georgia (11718) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1114880093
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMICHELLE KN ENNIS
Location Address3960 GREENSIDE CTDacula, GA 30019-4594
Mailing Address3960 Greenside CtDacula, GA 30019-4594 · (678) 469-2872
Phone(678) 469-2872
Sole ProprietorYes
Enumeration DateDecember 8, 2025
NPPES CertifiedDecember 7, 2025
✔ NPI 1114880093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in GA · 11718
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3960 GREENSIDE CT, Dacula, GA 30019
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Michelle Ennis's NPI number?

The NPI number for Michelle Ennis is 1114880093. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Where is Michelle Ennis located?

Michelle Ennis practices at 3960 Greenside Ct, Dacula, GA 30019. The listed phone number is (678) 469-2872.

What is Michelle Ennis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Michelle Ennis was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.