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NPI Code Detail

MEDICARE: LONDON IRWIN LPC

MEDICARE: LONDON IRWIN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC016670GA

General Provider Information

NPI Number : 1619712858
Entity Type Code : Individual
Provider Name (Legal Business Name) : LONDON IRWIN LPC
Provider Business Mailing Address
First Line : 120 E TRINITY PL
Second Line :
City : DECATUR
State : GA
Zip : 30030-3302
Country : US
Telephone Number : 404-378-2300
Fax Number :
Provider Business Practice Location Address
First Line : 120 E TRINITY PL
Second Line :
City : DECATUR
State : GA
Zip : 30030-3302
Country : US
Telephone Number : 404-378-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2024
Last Update Date : 05/04/2026

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Directions to “ LONDON IRWIN LPC” Practice Location

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