DEBORAH ANN MEDEARIS M.DIV., M.A.
NPI 1659406270
Counselor - Pastoral in Cumming, GA
Active since February 22, 2007
About Deborah Ann Medearis M.div., M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBORAH ANN MEDEARIS M.DIV., M.A. (NPI 1659406270) is an individual pastoral provider in Cumming, Georgia and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1659406270
Entity TypeIndividualFemale
Primary Taxonomy101YP1600X
Provider Legal NameDEBORAH ANN MEDEARISCredential: M.DIV., M.A.
Location Address770 CANTON HWYCumming, GA 30040-8327
Mailing Address4701 Andalusia TrlAtlanta, GA 30360-1919 · (404) 636-1457
Phone(404) 636-1457
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659406270 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
770 CANTON HWY, Cumming, GA 30040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659406270, enumerated as an "individual" on February 22, 2007.
The provider is located at 770 CANTON HWY CUMMING, GA 30040 and the phone number is (404) 636-1457.
Counselor with taxonomy code 101YP1600X and a focus in Pastoral.