Healthcare Provider Details

I. General information

NPI: 1932731239
Provider Name (Legal Business Name): SHANNON TROMBLEY MS, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2020
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PL STE N
SANDY SPRINGS GA
30350-2995
US

IV. Provider business mailing address

208 BIRCHFIELD WAY
DALLAS GA
30132-0810
US

V. Phone/Fax

Practice location:
  • Phone: 404-683-3500
  • Fax: 678-929-5448
Mailing address:
  • Phone: 404-309-5481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC016740
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: