DEANA JO VIVIAN
NPI 1639695513
Counselor - Professional in Atlanta, GA

Active since August 22, 2017
1003 VIRGINIA AVE STE 212, ATLANTA, GA 30354(678) 994-5694 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional

About DEANA VIVIAN

This page provides the complete NPI Profile along with additional information for Deana Vivian, a provider established in Atlanta, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1639695513 assigned on August 2017. The practitioner's primary taxonomy code is 101YP2500X with license number LPC009559 (GA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1639695513 Verify this NPI
Provider Name
DEANA JO VIVIAN
Gender
Female
Entity Type
Individual
Location Address
1003 VIRGINIA AVE STE 212 ATLANTA, GA 30354
Location Phone
(678) 994-5694
Mailing Address
1003 VIRGINIA AVE STE 212 ATLANTA, GA 30354
Is Sole Proprietor?
Yes
Enumeration Date
08-22-2017
Last Update Date
08-22-2017
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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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LPC009559
License State
GA

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Professional)
1003 VIRGINIA AVE STE 212
ATLANTA, GA 30354
Clinic/Center (Mental Health (Including Community Mental Health Center))
1003 VIRGINIA AVE STE 212
ATLANTA, GA 30354

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639695513, enumerated as an "individual" on August 22, 2017.

The provider is located at 1003 VIRGINIA AVE STE 212 ATLANTA, GA 30354 and the phone number is (678) 994-5694.

Counselor with taxonomy code 101YP2500X and a focus in Professional.