MR. GRANVILLE THEODORE FREEMAN III LPC, NCC, DCC, GCDF
NPI 1144625922
Counselor in Stone Mountain, GA

Active since October 23, 2014
5000 BRITTANY DRIVE, STONE MOUNTAIN, GA 30083(404) 538-1791 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Granville Theodore Freeman Iii Lpc, Ncc, Dcc, Gcdf NPPES

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

MR. GRANVILLE THEODORE FREEMAN III LPC, NCC, DCC, GCDF (NPI 1144625922) is an individual counselor in Stone Mountain, Georgia, licensed in Georgia (LPC008077) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1144625922
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. GRANVILLE THEODORE FREEMAN IIICredential: LPC, NCC, DCC, GCDF
Location Address5000 BRITTANY DRIVEStone Mountain, GA 30083
Mailing AddressP.o. Box 720Stone Mountain, GA 30086 · (404) 913-0557 · Fax (404) 393-7401
Sole ProprietorYes
Enumeration DateOctober 23, 2014
NPI 1144625922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in GA · LPC008077
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC008077 (GA)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC008077 (GA)
5000 BRITTANY DRIVE, Stone Mountain, GA 30083

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144625922, enumerated as an "individual" on October 23, 2014.

The provider is located at 5000 BRITTANY DRIVE STONE MOUNTAIN, GA 30083 and the phone number is (404) 538-1791.

Counselor with taxonomy code 101Y00000X.