STATISHA L PERRY
NPI 1275003337
Counselor - Addiction (Substance Use Disorder) in Stone Mountain, GA

Q: What is Statisha Perry's NPI number?

The NPI number for Statisha Perry is 1275003337. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Q: What is Statisha Perry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Statisha Perry was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since December 03, 2018

2300 W PARK PLACE BLVD STE 135, SUITE 135, STONE MOUNTAIN, GA 30087(678) 330-1400 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Statisha L Perry NPPES

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

STATISHA L PERRY (NPI 1275003337) is an individual addiction (substance use disorder) provider in Stone Mountain, Georgia and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1275003337

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameSTATISHA L PERRY

Location Address2300 W PARK PLACE BLVD STE 135, SUITE 135Stone Mountain, GA 30087-3561

Mailing Address4380 Bradley DrSnellville, GA 30039-6542

Phone(678) 330-1400

Sole ProprietorNo

Enumeration DateDecember 3, 2018

✔ NPI 1275003337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

2300 W PARK PLACE BLVD STE 135, Stone Mountain, GA 30087

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Other Providers at the Same Location NPPES 2

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

JORDAN LYNN MCGINNIS M.DIV

Counselor (Mental Health)

2300 W PARK PLACE BLVD STE 135
STONE MOUNTAIN, GA 30087

Dekalb County (678) 330-1400

CRYSTAL LATORY NORWOOD MSW, S/T, BHC

Social Worker

2300 W PARK PLACE BLVD STE 135
STONE MOUNTAIN, GA 30087

Dekalb County (678) 330-1400

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 Statisha Perry's NPI number?

The NPI number for Statisha Perry is 1275003337. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Where is Statisha Perry located?

Statisha Perry practices at 2300 W Park Place Blvd Ste 135 Suite 135, Stone Mountain, GA 30087. The listed phone number is (678) 330-1400.

What is Statisha Perry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Statisha Perry was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.