DR. YOUNG RAE SHIM PH. D. NPI 1669793782

NPI Information

  • NPI: 1669793782
  • Provider Name: DR. YOUNG RAE SHIM, PH. D.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 3000 LANGFORD RD
    PEACHTREE CORNERS, GA
    ZIP 30071
  • Phone: (216) 272-1986

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NPI Details

DR. Young Rae Shim, PH. D. is a professional counselor in Peachtree Corners, GA. DR. Young Rae Shim, PH. D. NPI is 1669793782. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3000 LANGFORD RD
PEACHTREE CORNERS, GA
ZIP 30071-521
Phone: (216) 272-1986

The enumeration date for this NPI number is 6/14/2010 and was last updated on 6/10/2021.

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
1101YP2500XCounselorProfessionalLPC009531GEORGIAYes
2103T00000XPsychologist6438OHIONo

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

NPI Synchronization or Removal

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