Healthcare Provider Details

I. General information

NPI: 1578499232
Provider Name (Legal Business Name): GEMS STRONGHER AND YOUTH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1116 SHIELDCREST WAY
FOREST PARK GA
30297-1134
US

IV. Provider business mailing address

1116 SHIELDCREST WAY
FOREST PARK GA
30297-1134
US

V. Phone/Fax

Practice location:
  • Phone: 494-585-7663
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. SHAMAYA RENISHA EPPINGER
Title or Position: OWNER/FOUNDER
Credential: LPC
Phone: 678-793-9391