ANDREA CORLEY NPI 1841896081

NPI Information

NPI: 1841896081
Provider Name: ANDREA CORLEY
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5300 BRICKLEBERRY WAY STE 206
DOUGLASVILLE, GA
ZIP 30134
Phone: (678) 886-0999
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Andrea Corley is a professional counselor in Douglasville, GA. Andrea Corley NPI is 1841896081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5300 BRICKLEBERRY WAY STE 206
DOUGLASVILLE, GA
ZIP 30134-068
Phone: (678) 886-0999

The enumeration date for this NPI number is 12/10/2020 and was last updated on 12/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC006703	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003239367A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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