Shawnda Avery
Counselor in Atlanta, GA. Individual provider (NPI-1).
NPI number1609413368
StatusActive
Last updated in NPPESDec 2, 2019
Details
- NPI
- 1609413368
- Entity type
- Individual (NPI-1)
- Name
- Shawnda Avery
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2019
- Last updated
- Dec 2, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
225 James P Brawley Dr NwAtlanta, GA 30314
Phone 494-919-5752
Mailing address
1332 Inman CtNorcross, GA 30093-3345
Is something wrong?
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