MEDICARE: STUART MURRAY PEARSON 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
1	101YM0800X	Mental Health Counselor	LPC011136	GA

General Provider Information

NPI Number	:	1649813049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STUART MURRAY PEARSON LPC

Provider Business Mailing Address
First Line	:	1074 PONCE DE LEON AVE NE STE C
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-4216
Country	:	US
Telephone Number	:	470-594-2733
Fax Number	:	470-878-2030

Provider Business Practice Location Address
First Line	:	1821 CLIFTON RD NE STE 1200
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-4021
Country	:	US
Telephone Number	:	404-712-2389
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2019
Last Update Date	:	03/24/2026

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