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MALISA FUNDERBURK
NPI 1407589211
Counselor in Buford, GA

Active since July 08, 2022
4330 S LEE ST STE 600, BUFORD, GA 30518(770) 648-2500 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Malisa Funderburk NPPES

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

MALISA FUNDERBURK (NPI 1407589211) is an individual counselor in Buford, Georgia and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1407589211
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMALISA FUNDERBURK
Location Address4330 S LEE ST STE 600Buford, GA 30518-5795
Mailing Address4992 Price DrSuwanee, GA 30024-4186
Phone(770) 648-2500
Sole ProprietorYes
Enumeration DateJuly 8, 2022
NPPES CertifiedJuly 7, 2022
✔ NPI 1407589211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4330 S LEE ST STE 600, Buford, GA 30518
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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 Malisa Funderburk's NPI number?

The NPI number for Malisa Funderburk is 1407589211. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Where is Malisa Funderburk located?

Malisa Funderburk practices at 4330 S Lee St Ste 600, Buford, GA 30518. The listed phone number is (770) 648-2500.

What is Malisa Funderburk's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Malisa Funderburk was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.