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● Active Type 1 · Individual

Shonda P Dallas, LPC

Professional (Counselor)·Fairburn, GA· NPI 1003176363 · Enumerated 2012 · 14 years on NPI
Dallas is 1 of 26 professional (counselor) providers in Fairburn and 1 of 7,805 in Georgia.
NPI age
14 years
Enumerated 2012-05-21
Primary specialty
Professional (Counselor)
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-08-08
Source: CMS NPPES provider record
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7805 active professional (counselor) providers in Georgia.

NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2012 → 2020

2012-05Enumerated in NPPES
2012 2020

Where they practice

Practice location
324 Breeze Mdw
Fairburn, GA 302136054
📞 7705979746fax 6788345154
Mailing address
324 Breeze Mdw
Fairburn, GA 302136054
📞 7705979746fax 6788345154

Specialties

  • Counselor Primary
    CMS NPPES uses NUCC taxonomy code 101YP2500X for provider records classified as Professional within Counselor. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
    GA license #006206 taxonomy 101YP2500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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