LEWIS PONZO
NPI 1821621533
Counselor in Decatur, GA
- Individual
- Male
- Counselor
About LEWIS PONZO
This page provides the complete NPI Profile along with additional information for Lewis Ponzo, a provider established in Decatur, Georgia with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1821621533 assigned on February 2020. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated May 2026.
- NPI
- 1821621533 Verify this NPI
- Provider Name
- LEWIS PONZO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 315 W PONCE DE LEON AVE DECATUR, GA 30030
- Location Phone
- (770) 609-6976
- Mailing Address
- 4221 MEDLOCK MILL DR SNELLVILLE, GA 30039
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-20-2020
- Last Update Date
- 05-11-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Other Providers at the Same Location
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DECATUR, GA 30030
DECATUR, GA 30030
DECATUR, GA 30030
DECATUR, GA 30030
DECATUR, GA 30030
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821621533, enumerated as an "individual" on February 20, 2020.
The provider is located at 315 W PONCE DE LEON AVE DECATUR, GA 30030 and the phone number is (770) 609-6976.
Counselor with taxonomy code 101Y00000X.
