Unknown Individual – Mental Health Counselor, NPI 1710076385

Unknown Individual is a healthcare provider. based in Decatur, Georgia. specializing in Mental Health Counselor. They hold a License No. CSW003537 (GA). The NPI Number for Unknown Individual is 1710076385

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710076385
Phone
(404) 312-8749
Address
2396 LAWRENCEVILLE HWY UNIT Q
Deactivation Date
10 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2396 LAWRENCEVILLE HWY UNIT Q

    DECATUR, GA 300333155

    Phone: (404) 312-8749

    Type: Mailing

  • 3912, Cedar Circle, Idlewood Acres, Tucker, DeKalb County, Georgia, 30084, United States

    TUCKER, GA 300847339

    Phone: (770) 414-9742

    Fax: (770) 414-8296

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30033)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1710076385?
NPI 1710076385 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Georgia is Unknown Individual registered?
Use Decatur, Georgia as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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