Healthcare Provider Details

I. General information

NPI: 1922943455
Provider Name (Legal Business Name): RONDA MONROE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 ARMOUR DR NE
ATLANTA GA
30324-3973
US

IV. Provider business mailing address

3060 MERCER UNIVERSITY DR STE 110
ATLANTA GA
30341-4135
US

V. Phone/Fax

Practice location:
  • Phone: 404-685-1600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC010265
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: