CARSON SHOCK
NPI 1376301572
Counselor - Mental Health in Cumming, GA
Active since March 12, 2024
About Carson Shock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARSON SHOCK (NPI 1376301572) is an individual mental health provider in Cumming, Georgia, licensed in Georgia (APC009560) and active in the NPI registry since March 2024.
NPPES Registry Identity
NPI1376301572
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARSON SHOCK
Location Address327 DAHLONEGA ST STE B1902Cumming, GA 30040-8216
Mailing Address327 Dahlonega St Ste B1902Cumming, GA 30040-8216 · (678) 371-7357
Phone(678) 371-7357
Sole ProprietorYes
Enumeration DateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1376301572 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · APC009560
327 DAHLONEGA ST STE B1902, Cumming, GA 30040
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
327 DAHLONEGA ST STE B1902
CUMMING, GA 30040
CUMMING, GA 30040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376301572, enumerated as an "individual" on March 12, 2024.
The provider is located at 327 DAHLONEGA ST STE B1902 CUMMING, GA 30040 and the phone number is (678) 371-7357.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
