LACEY MIGNON RHODES
NPI 1235729229
Counselor - Mental Health in Lilburn, GA
Active since January 22, 2021
About Lacey Mignon Rhodes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACEY MIGNON RHODES (NPI 1235729229) is an individual mental health provider in Lilburn, Georgia and active in the NPI registry since January 2021. She maintains a secondary practice location in Atlanta.
NPPES Registry Identity
NPI1235729229
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLACEY MIGNON RHODES
Location Address114 SHADOW LAKE DR SWLilburn, GA 30047-2917
Mailing Address114 Shadow Lake Dr SwLilburn, GA 30047-2917
Phone(404) 545-5549
Sole ProprietorYes
Enumeration DateJanuary 22, 2021
NPPES CertifiedJanuary 22, 2021
✔ NPI 1235729229 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
114 SHADOW LAKE DR SW, Lilburn, GA 30047
Secondary Practice Location 1
Location 12751 Buford Hwy NE Ste 700Atlanta, GA 30324-5510 · Phone (404) 545-5549
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235729229, enumerated as an "individual" on January 22, 2021.
The provider is located at 114 SHADOW LAKE DR SW LILBURN, GA 30047 and the phone number is (404) 545-5549.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
