Healthcare Provider Details

I. General information

NPI: 1316860760
Provider Name (Legal Business Name): HUDSON MAY LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 SYCAMORE DR
ATHENS GA
30606-3448
US

IV. Provider business mailing address

1116 E PONCE DE LEON AVE
DECATUR GA
30030-2711
US

V. Phone/Fax

Practice location:
  • Phone: 706-850-2121
  • Fax:
Mailing address:
  • Phone: 706-850-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: