Y FOUNTAIN PHD, LPC, RPT
NPI 1649683848
Counselor - Professional in Tucker, GA

Active since June 04, 2014
1479 BROCKETT RD, SUITE 100, TUCKER, GA 30084(770) 375-8124 Get Directions Write a Review

NPPES record last updated: April 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Y Fountain Phd, Lpc, Rpt NPPES

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

Y FOUNTAIN PHD, LPC, RPT (NPI 1649683848) is an individual professional provider in Tucker, Georgia, licensed in Georgia (LPC006900) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1649683848
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameY FOUNTAINCredential: PHD, LPC, RPT
Location Address1479 BROCKETT RD, SUITE 100Tucker, GA 30084-7326
Mailing Address3545 Broad St # 80742Atlanta, GA 30341-2259
Sole ProprietorNo
Enumeration DateJune 4, 2014
Last NPPES UpdateApril 4, 2015
NPI 1649683848 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 · LPC006900
1479 BROCKETT RD, Tucker, GA 30084

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
1479 BROCKETT RD, SUITE 101
TUCKER, GA 30084
Clinic/Center (Health Service)
1479 BROCKETT RD, SUITE 102
TUCKER, GA 30084
Counselor (Professional)
1479 BROCKETT RD, SUITE 102
TUCKER, GA 30084
Durable Medical Equipment & Medical Supplies
1479 BROCKETT RD, SUITE 101
TUCKER, GA 30084
Counselor (Professional)
1479 BROCKETT RD, SUITE 101
TUCKER, GA 30084
Psychologist (Clinical)
1479 BROCKETT RD, SUITE 100
TUCKER, GA 30084
Community/Behavioral Health
1479 BROCKETT RD, SUITE 102
TUCKER, GA 30084
Durable Medical Equipment & Medical Supplies
1479 BROCKETT RD, SUITE 101
TUCKER, GA 30084

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 Y Fountain's NPI number?

The NPI number for Y Fountain is 1649683848. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Where is Y Fountain located?

Y Fountain practices at 1479 Brockett Rd Suite 100, Tucker, GA 30084. The listed phone number is (770) 375-8124.

What is Y Fountain'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 Y Fountain was last updated on April 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.