SHONDA LAFAYE MADISON LPC
NPI 1659741221
Counselor - Professional in Mount Vernon, GA
Active since September 25, 2015
About Shonda Lafaye Madison Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHONDA LAFAYE MADISON LPC (NPI 1659741221) is an individual professional provider in Mount Vernon, Georgia, licensed in Georgia (LPC008364) and active in the NPI registry since September 2015.
NPPES Registry Identity
NPI1659741221
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHONDA LAFAYE MADISONCredential: LPC
Location Address1110 N MINNIE STMount Vernon, GA 30445-2716
Mailing Address1110 N Minnie StMount Vernon, GA 30445-2716 · (912) 583-2172
Phone(912) 583-2172
Sole ProprietorYes
Enumeration DateSeptember 25, 2015
✔ NPI 1659741221 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 · LPC008364
1110 N MINNIE ST, Mount Vernon, GA 30445
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659741221, enumerated as an "individual" on September 25, 2015.
The provider is located at 1110 N MINNIE ST MOUNT VERNON, GA 30445 and the phone number is (912) 583-2172.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
