JAQUITA SHORTS NPI 1518322395

NPI Information

  • NPI: 1518322395
  • Provider Name: JAQUITA SHORTS
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1705 PENNSLYVANIA AVE
    MCDONOUGH, GA
    ZIP 30252
  • Phone: (678) 853-5849

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NPI Details

Jaquita Shorts is a professional counselor in Mcdonough, GA. Jaquita Shorts NPI is 1518322395. 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:

1705 PENNSLYVANIA AVE
MCDONOUGH, GA
ZIP 30252
Phone: (678) 853-5849

The enumeration date for this NPI number is 12/22/2015 and was last updated on 11/8/2020.

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
1101YP2500XCounselorProfessionalLPC010510GEORGIAYes
2106H00000XMarriage & Family TherapistMFT001529GEORGIANo

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

NPI Synchronization or Removal

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