DESIREA RUSSELL MS MBA CRC LPC NPI 1417465527

NPI Information

NPI: 1417465527
Provider Name: DESIREA RUSSELL, MS, MBA, CRC, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2001 MARTIN LUTHER KING JR DR SW STE 201
ATLANTA, GA
ZIP 30310
Phone: (404) 476-5498
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Desirea Russell, MS, MBA, CRC, LPC is a professional counselor in Atlanta, GA. Desirea Russell, MS, MBA, CRC, LPC NPI is 1417465527. 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:

2001 MARTIN LUTHER KING JR DR SW STE 201
ATLANTA, GA
ZIP 30310-101
Phone: (404) 476-5498

The enumeration date for this NPI number is 1/11/2018 and was last updated on 2/8/2021.

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	101YP2500X	Counselor	Professional	009974	GEORGIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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