MS. MARY CALLAWAY LOGAN LPC M.DIV. FELLOW NPI 1245440254

NPI Information

NPI: 1245440254
Provider Name: MS. MARY CALLAWAY LOGAN, LPC, M.DIV., FELLOW
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
1200 PONCE DE LEON AVE NE
ATLANTA, GA
ZIP 30306
Phone: (404) 931-6395
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MS. Mary Callaway Logan, LPC, M.DIV., FELLOW is a pastoral counselor in Atlanta, GA. MS. Mary Callaway Logan, LPC, M.DIV., FELLOW NPI is 1245440254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 PONCE DE LEON AVE NE
ATLANTA, GA
ZIP 30306-602
Phone: (404) 931-6395

The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/8/2007.

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
1	101YP1600X	Counselor	Pastoral	000758	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000758	OTHER	GEORGIA	LICENSED PROFESSIONAL COU

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: 4/28/2024

NPI Synchronization or Removal

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