1. Home
  2. Directory
  3. Georgia
  4. Hiram
  5. Counselor
  6. NPI Profile

MRS. CLEVEVOYA DALETREASE JORDAN LPC, NCC
NPI 1548484132
Counselor - Professional in Hiram, GA

Active since April 13, 2007
127 ENTERPRISE PATH STE 401, HIRAM, GA 30141(770) 222-6622(404) 284-1804 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Clevevoya Daletrease Jordan Lpc, Ncc NPPES

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

MRS. CLEVEVOYA DALETREASE JORDAN LPC, NCC (NPI 1548484132) is an individual professional provider in Hiram, Georgia, licensed in Georgia (0003921) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1548484132
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. CLEVEVOYA DALETREASE JORDANCredential: LPC, NCC
Location Address127 ENTERPRISE PATH STE 401Hiram, GA 30141-2698
Mailing Address2506 Greenville WayDecatur, GA 30034-1861 · (678) 887-6613 · Fax (404) 284-1804
Phone(770) 222-6622
Fax(404) 284-1804
Sole ProprietorYes
Enumeration DateApril 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548484132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 0003921
127 ENTERPRISE PATH STE 401, Hiram, GA 30141
Open in Google Maps ↗

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 Clevevoya Jordan's NPI number?

The NPI number for Clevevoya Jordan is 1548484132. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Clevevoya Jordan located?

Clevevoya Jordan practices at 127 Enterprise Path Ste 401, Hiram, GA 30141. The listed phone number is (770) 222-6622.

What is Clevevoya Jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Clevevoya Jordan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.