MR. DAVE MOORTHY NPI 1376069294

NPI Information

  • NPI: 1376069294
  • Provider Name: MR. DAVE MOORTHY
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 6290 ABBOTTS BRIDGE RD STE 502
    DULUTH, GA
    ZIP 30097
  • Phone: (678) 936-4057

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NPI Details

MR. Dave Moorthy is a professional counselor in Duluth, GA. MR. Dave Moorthy NPI is 1376069294. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6290 ABBOTTS BRIDGE RD STE 502
DULUTH, GA
ZIP 30097-714
Phone: (678) 936-4057
Fax: (770) 623-8846

The enumeration date for this NPI number is 8/22/2017 and was last updated on 7/21/2022.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)C0108GEORGIANo
2101YP2500XCounselorProfessionalLPC008255GEORGIAYes

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: 11/21/2025

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