Healthcare Provider Details

I. General information

NPI: 1831495670
Provider Name (Legal Business Name): JANICE LYNNE CHILDERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2011
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 N RIVER ST NW
CALHOUN GA
30701-9408
US

IV. Provider business mailing address

1620 HICKORY ST STE 404
DALTON GA
30720-2312
US

V. Phone/Fax

Practice location:
  • Phone: 706-625-8369
  • Fax:
Mailing address:
  • Phone: 706-270-5033
  • Fax: 706-370-7749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC006259
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: