JERRUROD PAUL NPI 1508422726

NPI Information

  • NPI: 1508422726
  • Provider Name: JERRUROD PAUL
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 2611 REDDING RD NE
    BROOKHAVEN, GA
    ZIP 30319
  • Phone: (770) 882-7091

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NPI Details

Jerrurod Paul is a professional counselor in Brookhaven, GA. Jerrurod Paul NPI is 1508422726. 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:

2611 REDDING RD NE
BROOKHAVEN, GA
ZIP 30319-905
Phone: (770) 882-7091

The enumeration date for this NPI number is 5/13/2019 and was last updated on 7/23/2024.

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
1106S00000XBehavior TechnicianRBT-19-85867GEORGIANo
2106S00000XBehavior Technician19-85867GEORGIANo
3101YP2500XCounselorProfessionalLPC014551GEORGIAYes

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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