MEDICARE: MS. EMILY MCDONALD MS, LPC, NCC

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	101YP2500X	Professional Counselor	LPC013565	GA

General Provider Information

NPI Number	:	1720785223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY MCDONALD MS, LPC, NCC

Provider Business Mailing Address
First Line	:	1801 PEACHTREE ST NE STE 350
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1895
Country	:	US
Telephone Number	:	404-654-0385
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 PEACHTREE ST NE STE 350
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1895
Country	:	US
Telephone Number	:	404-654-0385
Fax Number	:

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

Provider Enumeration Date	:	02/14/2023
Last Update Date	:	04/01/2026

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