DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GRACYN PAIGE WISTOSKI JENNINGS LPC

MEDICARE: GRACYN PAIGE WISTOSKI JENNINGS 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 CounselorLPC015777GA

General Provider Information

NPI Number : 1700691060
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACYN PAIGE WISTOSKI JENNINGS LPC
Provider Business Mailing Address
First Line : 327 DAHLONEGA ST STE A601
Second Line :
City : CUMMING
State : GA
Zip : 30040-2488
Country : US
Telephone Number : 678-439-1049
Fax Number :
Provider Business Practice Location Address
First Line : 327 DAHLONEGA ST STE A601
Second Line :
City : CUMMING
State : GA
Zip : 30040-2488
Country : US
Telephone Number : 678-439-1049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2025
Last Update Date : 05/27/2025

Similar Medicare Providers

1649135245 — PORCH LIGHT COUNSELING, LLC
Practice Location Address:
327 DAHLONEGA ST STE A601
CUMMING, GA
30040-2488
Practice Phone: 470-253-1090
Practice Fax:
1043287626 — PREMIER MEDICAL SERVICES
Practice Location Address:
327 DAHLONEGA ST STE A603
CUMMING, GA
30040-2488
Practice Phone: 770-781-4138
Practice Fax: 770-781-2588
1588152052 — SHAR GOOLSBY LPCC
Practice Location Address:
327 DAHLONEGA ST STE A601
CUMMING, GA
30040-2488
Practice Phone: 404-590-5042
Practice Fax:
1366259558 — NATALIE S JANUSCZOK AMFT
Practice Location Address:
327 DAHLONEGA ST STE A601
CUMMING, GA
30040-2488
Practice Phone: 678-661-1508
Practice Fax:
1831904135 — AARON MURRAY APC, NCC
Practice Location Address:
327 DAHLONEGA ST STE A601
CUMMING, GA
30040-2488
Practice Phone: 678-439-1001
Practice Fax:
1942015136 — KASSIE LOVE
Practice Location Address:
327 DAHLONEGA ST STE A601
CUMMING, GA
30040-2488
Practice Phone: 404-445-8579
Practice Fax:

Directions to “ GRACYN PAIGE WISTOSKI JENNINGS LPC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.