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NPI Code Detail

MEDICARE: MONIQUE R DARNELL LPC

MEDICARE: MONIQUE R DARNELL LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH18174FL
2101YP2500XProfessional CounselorLPC011474GA

General Provider Information

NPI Number : 1376062539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE R DARNELL LPC
Provider Business Mailing Address
First Line : 320 LANIER AVE W STE 200
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-7443
Country : US
Telephone Number : 404-919-8222
Fax Number : 770-995-1959
Provider Business Practice Location Address
First Line : 320 LANIER AVE W STE 200
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-7443
Country : US
Telephone Number : 404-919-8222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2017
Last Update Date : 02/07/2024

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Directions to “ MONIQUE R DARNELL LPC” Practice Location

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