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DR. SHILENE MOULTRIE-JOHNSON ED.D
NPI 1285072470
Counselor - Professional in Fayetteville, GA

Active since June 10, 2013
190 ELI RUN, FAYETTEVILLE, GA 30214(678) 382-4999(770) 461-4306 Get Directions Write a Review

NPPES record last updated: June 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shilene Moultrie-johnson Ed.d NPPES

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

DR. SHILENE MOULTRIE-JOHNSON ED.D (NPI 1285072470) is an individual professional provider in Fayetteville, Georgia, licensed in Massachusetts (1312032) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1285072470
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. SHILENE MOULTRIE-JOHNSONCredential: ED.D
Location Address190 ELI RUNFayetteville, GA 30214-3723
Mailing Address190 Eli RunFayetteville, GA 30214-3723 · (678) 382-4999 · Fax (770) 461-4306
Phone(678) 382-4999
Fax(770) 461-4306
Sole ProprietorYes
Enumeration DateJune 10, 2013
✔ NPI 1285072470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MA · 1312032
190 ELI RUN, Fayetteville, GA 30214
Open in Google Maps ↗

Other Identifiers 3

OtherTR-BFTS-1397GA · Georgia Training Approval:
Other1312032MA · Teacher's License
Other03112367967GA · American Heart Association/ Bls Instructor

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 Shilene Moultrie-johnson's NPI number?

The NPI number for Shilene Moultrie-johnson is 1285072470. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Where is Shilene Moultrie-johnson located?

Shilene Moultrie-johnson practices at 190 Eli Run, Fayetteville, GA 30214. The listed phone number is (678) 382-4999.

What is Shilene Moultrie-johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shilene Moultrie-johnson was last updated on June 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.