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JUANITA ANN GILLIS
NPI 1417617762
Counselor in Decatur, GA

Active since December 28, 2021
4431 TARRAGON LN, DECATUR, GA 30034(404) 216-8104 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juanita Ann Gillis NPPES

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

JUANITA ANN GILLIS (NPI 1417617762) is an individual counselor in Decatur, Georgia, licensed in Georgia (LPC009660) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1417617762
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJUANITA ANN GILLIS
Location Address4431 TARRAGON LNDecatur, GA 30034-6339
Mailing Address4431 Tarragon LnDecatur, GA 30034-6339 · (404) 216-8104
Phone(404) 216-8104
Sole ProprietorYes
Enumeration DateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1417617762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in GA · LPC009660
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.
4431 TARRAGON LN, Decatur, GA 30034
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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 Juanita Gillis's NPI number?

The NPI number for Juanita Gillis is 1417617762. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Juanita Gillis located?

Juanita Gillis practices at 4431 Tarragon Ln, Decatur, GA 30034. The listed phone number is (404) 216-8104.

What is Juanita Gillis'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 Juanita Gillis was last updated on December 28, 2021. 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.