Mr. Jack L Abernathy Jr., MS, NCC, CCMHC, LPC
Counselor, Professional in Atlanta, Georgia
1235566126- Practice location
- 900 Circle 75 Pkwy SE, Suite 1435, Atlanta, GA 30339-3905
- Phone
- 404-895-0990
- Fax
- 770-485-5906
- Last updated
- November 5, 2016
Mr. Jack L Abernathy Jr., MS, NCC, CCMHC, LPC is a Counselor, Professional based in Atlanta, GA. Mr. Jack L Abernathy Jr., MS, NCC, CCMHC, LPC holds the professional credentials of MS, NCC, CCMHC, LPC. The NPI number for Mr. Jack L Abernathy Jr., MS, NCC, CCMHC, LPC is 1235566126 and holds license No. LPC007969 (GA). The current practice location address is 900 Circle 75 Pkwy SE, Suite 1435, Atlanta, GA 30339-3905 and the office can be reached by phone at 404-895-0990 and by fax at 770-485-5906. The NPI was assigned on October 9, 2013 and the record was last updated in NPPES on November 5, 2016.
●Provider Profile Details
- NPI Number
- 1235566126
- Provider Name
- Jack Lenford Abernathy
- Credential
- MS, NCC, CCMHC, LPC
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Enumeration Date
- October 9, 2013
- Last Update Date
- November 5, 2016
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 900 Circle 75 Pkwy SE
Suite 1435
Atlanta, GA 30339-3905 - City
- Atlanta
- State
- Georgia
- ZIP
- 30339-3905
- Country
- US
- Phone Number
- 404-895-0990
- Fax Number
- 770-485-5906
✉Business Mailing Address
- Address
- 900 Circle 75 Pkwy SE
Suite 1435
Atlanta, GA 30339-3905 - City
- Atlanta
- State
- GA
- ZIP
- 30339-3905
- Phone Number
- 404-895-0990
- Fax Number
- 770-485-5906
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Professional | 101YP2500X | Yes | LPC007969 | GA |
| Counselor, Mental Health | 101YM0800X | No | LPC007969 | GA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Atlanta →?Frequently Asked Questions
What is the NPI number of Mr. Jack L Abernathy Jr., MS, NCC, CCMHC, LPC?
The NPI number of Mr. Jack L Abernathy Jr., MS, NCC, CCMHC, LPC is 1235566126. It was assigned on October 9, 2013 and is currently active in the NPPES registry.
What is the specialty of Mr. Jack L Abernathy Jr., MS, NCC, CCMHC, LPC?
Mr. Jack L Abernathy Jr., MS, NCC, CCMHC, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X) and holds license No. LPC007969 (GA).
Where does Mr. Jack L Abernathy Jr., MS, NCC, CCMHC, LPC practice?
The practice location is 900 Circle 75 Pkwy SE, Suite 1435, Atlanta, GA 30339-3905. The office can be reached at 404-895-0990 (phone) or 770-485-5906 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235566126 directly on the NPPES registry website at npiregistry.cms.hhs.gov.