NPI 1689973984 · live from the CMS NPI Registry
Evie E Bodine, LAPC
Counselor in Atlanta, GA. National Provider Identifier 1689973984, active.
NPI record
| NPI | 1689973984 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor 101Y00000X |
| Practice location | 1459 Oxford Rd Ne, Atlanta, GA 30307 |
| Practice phone | 678-310-5383 |
| Mailing address | 478 Pensdale Rd, Decatur, GA 30030 |
| Enumerated | March 25, 2011 |
| Last updated | March 30, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor primary | 101Y00000X | LPC 007612 (GA) |
| Marriage & Family Therapist | 106H00000X | MFT 001281 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.