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SHALISA PETERSON
NPI 1700545605
Counselor - Mental Health in Conyers, GA

Active since December 08, 2021
2215 EXCHANGE PL SE, CONYERS, GA 30013(770) 679-0586 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shalisa Peterson NPPES

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

SHALISA PETERSON (NPI 1700545605) is an individual mental health provider in Conyers, Georgia and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1700545605
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHALISA PETERSON
Location Address2215 EXCHANGE PL SEConyers, GA 30013-6723
Mailing Address4790 Kensington Ln SeConyers, GA 30094-4346
Phone(770) 679-0586
Sole ProprietorNo
Enumeration DateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1700545605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2215 EXCHANGE PL SE, Conyers, GA 30013
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Other Providers at the Same Location NPPES 15

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

TAJADA CARRINGTON
Social Worker
2215 EXCHANGE PL SE
CONYERS, GA 30013
Rockdale County (404) 645-9541
ILLEAN WIGGINS
Counselor (Mental Health)
2215 EXCHANGE PL SE
CONYERS, GA 30013
Rockdale County (770) 679-0586
ROCKDALE PHYSICIAN PRACTICES, LLC
Family Medicine
2215 EXCHANGE PL SE
CONYERS, GA 30013
Rockdale County (770) 992-3522
RAVEN DAVIDSON
Social Worker
2215 EXCHANGE PL SE
CONYERS, GA 30013
Rockdale County (770) 679-0586
KEASIA Z PRINCE
Counselor (Mental Health)
2215 EXCHANGE PL SE
CONYERS, GA 30013
Rockdale County (770) 679-0586
CANA ELAINE RAINWATER
Social Worker
2215 EXCHANGE PL SE
CONYERS, GA 30013
Rockdale County (803) 528-5746
MELISSA FAGAN
Nurse Practitioner (Family)
2215 EXCHANGE PL SE
CONYERS, GA 30013
Rockdale County (770) 922-3522
SHARON OZEL
Counselor (Mental Health)
2215 EXCHANGE PL SE
CONYERS, GA 30013
Rockdale County (770) 679-0586

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 Shalisa Peterson's NPI number?

The NPI number for Shalisa Peterson is 1700545605. It was assigned to this individual provider in the NPPES registry on December 8, 2021.

Where is Shalisa Peterson located?

Shalisa Peterson practices at 2215 Exchange Pl SE, Conyers, GA 30013. The listed phone number is (770) 679-0586.

What is Shalisa Peterson'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 Shalisa Peterson was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.