Healthcare Provider Details

I. General information

NPI: 1598602583
Provider Name (Legal Business Name): CARA MCDONALD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14720 TAYLOR RD
MILTON GA
30004-3021
US

IV. Provider business mailing address

14720 TAYLOR RD
MILTON GA
30004-3021
US

V. Phone/Fax

Practice location:
  • Phone: 404-219-0032
  • Fax:
Mailing address:
  • Phone: 404-219-0032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC010489
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: