Healthcare Provider Details

I. General information

NPI: 1760727309
Provider Name (Legal Business Name): INEZ ALMEIDA MCDANIEL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2012
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

536 EAST AVE
MADISON GA
30650-1377
US

IV. Provider business mailing address

536 EAST AVE
MADISON GA
30650-1377
US

V. Phone/Fax

Practice location:
  • Phone: 678-988-7322
  • Fax: 404-393-6460
Mailing address:
  • Phone: 678-988-7322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number008783
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: