MR. RICHARD CHARLES LIE-NIELSEN L.P.C. NPI 1124470729

NPI Information

  • NPI: 1124470729
  • Provider Name: MR. RICHARD CHARLES LIE-NIELSEN, L.P.C.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 4015 S COBB DR SE
    SUITE 260
    SMYRNA, GA
    ZIP 30080
  • Phone: (678) 760-2704

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NPI Details

MR. Richard Charles Lie-nielsen, L.P.C. is a professional counselor in Smyrna, GA. MR. Richard Charles Lie-nielsen, L.P.C. NPI is 1124470729. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4015 S COBB DR SE
SUITE 260
SMYRNA, GA
ZIP 30080-303
Phone: (678) 760-2704
Fax: (770) 432-8311

The enumeration date for this NPI number is 7/7/2016 and was last updated on 7/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional004695GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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