MS. MIRANDA L. FALLEN-BOBO LPC, NCC
NPI 1821498809
Counselor - Mental Health in College Park, GA

Active since August 27, 2014
3729 MAIN ST, COLLEGE PARK, GA 30337(678) 559-4043 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2021, Dec 8, 2020 (2 updates tracked since 2020).

About Ms. Miranda L. Fallen-bobo Lpc, Ncc NPPES

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

MS. MIRANDA L. FALLEN-BOBO LPC, NCC (NPI 1821498809) is an individual mental health provider in College Park, Georgia and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1821498809
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MIRANDA L. FALLEN-BOBOCredential: LPC, NCC
Location Address3729 MAIN STCollege Park, GA 30337-3544
Mailing Address3729 Main StCollege Park, GA 30337-3544 · (678) 559-4043
Sole ProprietorNo
Enumeration DateAugust 27, 2014
Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
NPI 1821498809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
3729 MAIN ST, College Park, GA 30337

Other Providers at the Same Location NPPES 5

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

Doula
3729 MAIN ST
COLLEGE PARK, GA 30337
Counselor (Professional)
3729 MAIN ST
COLLEGE PARK, GA 30337
Counselor (Professional)
3729 MAIN ST
COLLEGE PARK, GA 30337
Social Worker
3729 MAIN ST
COLLEGE PARK, GA 30337
Durable Medical Equipment & Medical Supplies
3729 MAIN ST
ATLANTA, GA 30337

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 Miranda Fallen-bobo's NPI number?

The NPI number for Miranda Fallen-bobo is 1821498809. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Miranda Fallen-bobo located?

Miranda Fallen-bobo practices at 3729 Main St, College Park, GA 30337. The listed phone number is (678) 559-4043.

What is Miranda Fallen-bobo'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 Miranda Fallen-bobo was last updated on March 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.