MS. JUDITH DIANNE CLEVELAND PH.D. NPI 1629397492

NPI Information

  • NPI: 1629397492
  • Provider Name: MS. JUDITH DIANNE CLEVELAND, PH.D.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 259 HIGHWAY 74 N
    SUITE ONE
    PEACHTREE CITY, GA
    ZIP 30269
  • Phone: (770) 630-0071

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NPI Details

MS. Judith Dianne Cleveland, PH.D. is a mental health counselor in Peachtree City, GA. MS. Judith Dianne Cleveland, PH.D. NPI is 1629397492. 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:

259 HIGHWAY 74 N
SUITE ONE
PEACHTREE CITY, GA
ZIP 30269-561
Phone: (770) 630-0071
Fax: (770) 599-3033

The enumeration date for this NPI number is 5/19/2010 and was last updated on 5/19/2010.

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
1101YM0800XCounselorMental Health000129GEORGIAYes

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: 3/30/2025

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