Healthcare Provider Details

I. General information

NPI: 1821585969
Provider Name (Legal Business Name): BROOKE A ATKINSON LPC CPCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2018
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5328 LANIER ISLANDS PKWY STE 103
BUFORD GA
30518-9081
US

IV. Provider business mailing address

5328 LANIER ISLANDS PKWY STE 103
BUFORD GA
30518-9081
US

V. Phone/Fax

Practice location:
  • Phone: 770-758-4940
  • Fax: 470-778-3705
Mailing address:
  • Phone: 770-758-4940
  • Fax: 470-778-3705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC012467
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC012467
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC012467
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: