MICHAEL-RENEE GODFREY RN LPC PC NPI 1932447950

NPI Information

  • NPI: 1932447950
  • Provider Name: MICHAEL-RENEE GODFREY, RN, LPC, PC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 2453 POWDER SPRINGS RD SW
    SUITE 320
    MARIETTA, GA
    ZIP 30064
  • Phone: (678) 401-8106

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NPI Details

MICHAEL-RENEE GODFREY, RN, LPC, PC is a professional counselor in Marietta, GA. MICHAEL-RENEE GODFREY, RN, LPC, PC NPI is 1932447950. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2453 POWDER SPRINGS RD SW
SUITE 320
MARIETTA, GA
ZIP 30064-570
Phone: (678) 401-8106
Fax: (678) 398-9065

The provider's authorized official is Michael-renee Godfrey .
The authorized official title is Ceo and has the following contact phone number (678) 401-8106.

The enumeration date for this NPI number is 1/25/2013 and was last updated on 1/25/2013.

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
1101YP2500XCounselorProfessional6036GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1498827642BMEDICAIDGEORGIA

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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