MEDICARE: ALICIA MARIE SHAWLER 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
1	101YP2500X	Professional Counselor	LPC016120	GA
2	101YP2500X	Professional Counselor	0701013010	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518730688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA MARIE SHAWLER LPC

Provider Business Mailing Address
First Line	:	1030 FAYETTEVILLE RD SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316
Country	:	US
Telephone Number	:	800-896-4106
Fax Number	:	470-451-7585

Provider Business Practice Location Address
First Line	:	1017 FAYETTVILLE RD SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316
Country	:	US
Telephone Number	:	800-896-4106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2023
Last Update Date	:	04/16/2026

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Directions to “ ALICIA MARIE SHAWLER LPC” Practice Location

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