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JACKIE HORNBECK WALL LPC
NPI 1487242335
Counselor - Mental Health in Decatur, GA

Active since January 06, 2021
317 W HILL ST STE 204A, DECATUR, GA 30030(404) 518-3524 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackie Hornbeck Wall Lpc NPPES

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

JACKIE HORNBECK WALL LPC (NPI 1487242335) is an individual mental health provider in Decatur, Georgia, licensed in Georgia (LPC010696) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1487242335
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKIE HORNBECK WALLCredential: LPC
Location Address317 W HILL ST STE 204ADecatur, GA 30030-4367
Mailing Address315 Adams StDecatur, GA 30030-5205 · (404) 518-3524
Phone(404) 518-3524
Sole ProprietorYes
Enumeration DateJanuary 6, 2021
NPPES CertifiedJanuary 6, 2021
✔ NPI 1487242335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC010696
Also ListedCounselorTaxonomy 101Y00000X · License LPC010696 (GA)
317 W HILL ST STE 204A, Decatur, GA 30030
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA LOSITO
Counselor (Mental Health)
317 W HILL ST STE 204A
DECATUR, GA 30030
Dekalb County (404) 477-4082
AMANDA LOSITO LLC
Community/Behavioral Health
317 W HILL ST STE 204A
DECATUR, GA 30030
Dekalb County (404) 477-4082

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 Jackie Wall's NPI number?

The NPI number for Jackie Wall is 1487242335. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Where is Jackie Wall located?

Jackie Wall practices at 317 W Hill St Ste 204A, Decatur, GA 30030. The listed phone number is (404) 518-3524.

What is Jackie Wall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jackie Wall was last updated on January 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.