CAUDIE R GRISSOM LPC
NPI 1629309083
Counselor - Mental Health in Decatur, GA

Q: What is Caudie Grissom's NPI number?

The NPI number for Caudie Grissom is 1629309083. It was assigned to this individual provider in the NPPES registry on January 26, 2010.

Q: What is Caudie Grissom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Caudie Grissom was last updated on January 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 26, 2010

2616 OLD WESLEY CHAPEL RD, SUITE 207, DECATUR, GA 30034(404) 408-1253(404) 289-8055 Get Directions Write a Review

NPPES record last updated: January 26, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Caudie R Grissom Lpc NPPES

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

CAUDIE R GRISSOM LPC (NPI 1629309083) is an individual mental health provider in Decatur, Georgia, licensed in Georgia (010853725) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1629309083

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCAUDIE R GRISSOMCredential: LPC

Location Address2616 OLD WESLEY CHAPEL RD, SUITE 207Decatur, GA 30034-2367

Mailing Address2616 Old Wesley Chapel Rd, Suite 207Decatur, GA 30034-2367 · (404) 408-1253 · Fax (404) 289-8055

Phone(404) 408-1253

Fax(404) 289-8055

Sole ProprietorNo

Enumeration DateJanuary 26, 2010

✔ NPI 1629309083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · 010853725

2616 OLD WESLEY CHAPEL RD, Decatur, GA 30034

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Other Providers at the Same Location NPPES

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

DR. HALISI JACQUELINE EDWARDS PSY.D.

Counselor (Mental Health)

2616 OLD WESLEY CHAPEL RD, SUITE 102
DECATUR, GA 30034

Dekalb County (404) 288-2826

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 Caudie Grissom's NPI number?

The NPI number for Caudie Grissom is 1629309083. It was assigned to this individual provider in the NPPES registry on January 26, 2010.

Where is Caudie Grissom located?

Caudie Grissom practices at 2616 Old Wesley Chapel Rd Suite 207, Decatur, GA 30034. The listed phone number is (404) 408-1253.

What is Caudie Grissom'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 Caudie Grissom was last updated on January 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.