IAMIRONPANDA
NPI 1477311736
Counselor in Dunwoody, GA

Active since March 11, 2024
9 DUNWOODY PARK STE 136, DUNWOODY, GA 30338(404) 594-0625 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor

About IAMIRONPANDA

This page provides the complete NPI Profile along with additional information for Iamironpanda, a provider established in Dunwoody, Georgia operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1477311736 assigned on March 2024. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Iamironpanda operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Jason Bussey Lpc, Clc, Mb/tf-cbt (Director)

NPI
1477311736 Verify this NPI
Provider Name
IAMIRONPANDA
Entity Type
Organization
Location Address
9 DUNWOODY PARK STE 136 DUNWOODY, GA 30338
Location Phone
(404) 594-0625
Mailing Address
2479 ORTEGA WAY CHAMBLEE, GA 30341
Mailing Phone
(404) 594-0625
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2024
Last Update Date
03-11-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JASON BUSSEY LPC, CLC, MB/TF-CBT

Authorized Official Title
DIRECTOR
Authorized Official Phone
(404) 594-0625

Reviews for IAMIRONPANDA

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Community/Behavioral Health
9 DUNWOODY PARK STE 136
ATLANTA, GA 30338
Counselor (Mental Health)
9 DUNWOODY PARK STE 136
ATLANTA, GA 30338
Counselor (Mental Health)
9 DUNWOODY PARK STE 136
ATLANTA, GA 30338
Counselor
9 DUNWOODY PARK STE 136
DUNWOODY, GA 30338
Community/Behavioral Health
9 DUNWOODY PARK STE 136
ATLANTA, GA 30338
Social Worker
9 DUNWOODY PARK STE 136
DUNWOODY, GA 30338

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477311736, enumerated as an "organization" on March 11, 2024.

The provider is located at 9 DUNWOODY PARK STE 136 DUNWOODY, GA 30338 and the phone number is (404) 594-0625.

Counselor with taxonomy code 101Y00000X.