JO D FADDIS INC NPI 1376892703

NPI Information

  • NPI: 1376892703
  • Provider Name: JO D FADDIS INC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2310 BRIARCLIFF RD NE
    ATLANTA, GA
    ZIP 30329
  • Phone: (404) 325-0738

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NPI Details

JO D FADDIS INC is a mental health counselor in Atlanta, GA. JO D FADDIS INC NPI is 1376892703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2310 BRIARCLIFF RD NE
ATLANTA, GA
ZIP 30329-802
Phone: (404) 325-0738

The provider's authorized official is Jo D Faddis .
The authorized official title is Marriage & Family Therapist and has the following contact phone number (404) 325-0738.

The enumeration date for this NPI number is 8/30/2012 and was last updated on 8/30/2012.

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
1101YM0800XCounselorMental Health000295GEORGIAYes

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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