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SERRA BOONE
NPI 1356854897
Counselor - Professional in Leesburg, GA

Active since November 07, 2017
143 EDINBOROUGH DR, LEESBURG, GA 31763(229) 869-9386 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Serra Boone NPPES

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

SERRA BOONE (NPI 1356854897) is an individual professional provider in Leesburg, Georgia, licensed in Georgia (LPC009140) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1356854897
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSERRA BOONE
Location Address143 EDINBOROUGH DRLeesburg, GA 31763-4777
Mailing Address143 Edinborough DrLeesburg, GA 31763-4777
Phone(229) 869-9386
Sole ProprietorYes
Enumeration DateNovember 7, 2017
✔ NPI 1356854897 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 · LPC009140
143 EDINBOROUGH DR, Leesburg, GA 31763
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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 Serra Boone's NPI number?

The NPI number for Serra Boone is 1356854897. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Where is Serra Boone located?

Serra Boone practices at 143 Edinborough Dr, Leesburg, GA 31763. The listed phone number is (229) 869-9386.

What is Serra Boone'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 Serra Boone was last updated on November 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.