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ANNIE RUSSELL LPC
NPI 1316482854
Counselor - Professional in Berkeley Lake, GA

Active since December 19, 2016
4530 S BERKELEY LAKE RD, SUITE B, BERKELEY LAKE, GA 30071(678) 336-6218 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annie Russell Lpc NPPES

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

ANNIE RUSSELL LPC (NPI 1316482854) is a healthcare organization registered as a professional in Berkeley Lake, Georgia and active in the NPI registry since December 2016. The organization lists Annie Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1316482854
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameLIBERATING MINDS PSYCHOTHERAPY LLC
Location Address4530 S BERKELEY LAKE RD, SUITE BBerkeley Lake, GA 30071-1660
Mailing Address4530 S Berkeley Lake Rd, Suite BBerkeley Lake, GA 30071-1660 · (678) 336-6218
Phone(678) 336-6218
Organization SubpartNo
Authorized OfficialAnnie RussellOwner · (678) 336-6218
Enumeration DateDecember 19, 2016
✔ NPI 1316482854 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 GA · LPC009369
4530 S BERKELEY LAKE RD, Berkeley Lake, GA 30071
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Other Names 1

Other NameAnnie Russell Lpc

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

Other Providers at the Same Location NPPES 20

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

FAITH AND FAMILY EMPOWERMENT
Community/Behavioral Health
4530 S BERKELEY LAKE RD
BERKELEY LAKE, GA 30071
Gwinnett County (678) 257-7831
TARA M. BOADU, PSY.D. LLC
Psychologist (Clinical)
4530 S BERKELEY LAKE RD, SUITE B
BERKELEY LAKE, GA 30071
Gwinnett County (470) 514-3727
MITCHELL FOY LPC
Counselor (Professional)
4530 S BERKELEY LAKE RD, SUITE B
BERKELEY LAKE, GA 30071
Gwinnett County (678) 387-2767
JULIET A SINGLETARY MA, LPC
Counselor (Mental Health)
4530 S BERKELEY LAKE RD, SUITE B
BERKELEY LAKE, GA 30071
Gwinnett County (678) 336-6797
L. EMBRY COLLINS, JR., PHD, P.C.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4530 S BERKELEY LAKE RD, SUITE B
NORCROSS, GA 30071
Gwinnett County (770) 446-5642
DR. LEWIS EMBRY COLLINS JR. PH.D.
Psychologist
4530 S BERKELEY LAKE RD, STE B
BERKELEY LAKE, GA 30071
Gwinnett County (770) 446-5642
MR. DARRIN SAMUEL BRONFMAN LCSW
Social Worker (Clinical)
4530 S BERKELEY LAKE RD, B
NORCROSS, GA 30071
Gwinnett County (770) 446-5642
WE LISTEN, LLC
Community/Behavioral Health
4530 S BERKELEY LAKE RD, SUITE B
NORCROSS, GA 30071
Gwinnett County (770) 446-5642

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 Liberating Minds Psychotherapy LLC's NPI number?

The NPI number for Liberating Minds Psychotherapy LLC is 1316482854. It was assigned to this organization in the NPPES registry on December 19, 2016. The provider is also known as Annie Russell Lpc.

Where is Liberating Minds Psychotherapy LLC located?

Liberating Minds Psychotherapy LLC is located at 4530 S Berkeley Lake Rd Suite B, Berkeley Lake, GA 30071. The listed phone number is (678) 336-6218.

What is Liberating Minds Psychotherapy LLC'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 Liberating Minds Psychotherapy LLC was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.