MRS. STEPHANIE L RUSH LPC
NPI 1578807236
Counselor - Professional in Mcdonough, GA
Active since November 19, 2012
About Mrs. Stephanie L Rush Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STEPHANIE L RUSH LPC (NPI 1578807236) is an individual professional provider in Mcdonough, Georgia, licensed in Georgia (LPC010775) and active in the NPI registry since November 2012.
NPPES Registry Identity
NPI1578807236
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. STEPHANIE L RUSHCredential: LPC
Location Address2020 AVALON PKWY STE 355Mcdonough, GA 30253-3017
Mailing Address608 Jack Warner Pkwy Ne Apt C3Tuscaloosa, AL 35404-5738 · (404) 454-7997
Phone(404) 454-7997
Sole ProprietorYes
Enumeration DateNovember 19, 2012
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1578807236 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC010775
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 010775 (GA)
2020 AVALON PKWY STE 355, Mcdonough, GA 30253
Other Names 1
Former Name (1)Ms. Stephanie L Rush Llpc
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578807236, enumerated as an "individual" on November 19, 2012.
The provider is located at 2020 AVALON PKWY STE 355 MCDONOUGH, GA 30253 and the phone number is (404) 454-7997.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
