NPI 1780756643 · live from the CMS NPI Registry
Jeralyn Wood Bonner, MSW
Marriage & Family Therapist in Atlanta, GA. National Provider Identifier 1780756643, active.
NPI record
| NPI | 1780756643 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 2801 Buford Hwy Ne, Suite 508, Atlanta, GA 30329 |
| Practice phone | 404-636-1108 |
| Enumerated | November 15, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 585 (GA) |
| Marriage & Family Therapist primary | 106H00000X | 197 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.