National Provider Identifier Database

CAROLYN K ANDERSON, LPC – NPI #1417279316
Professional


Contact Information

CAROLYN K ANDERSON, LPC
6188 SWABIA CT
STONE MOUNTAIN, GA30087-4987
Phone: 470-385-8777
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Counselor 101Y00000X

* Indicates primary specialty

NPI Profile & details for CAROLYN K ANDERSON

NPI Number 1417279316
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 02/18/2010
Last updated 10/09/2025 - About 8 months ago
Sole proprietor1 Yes
Identifiers
  • CA License #: LPCC17939
  • GA License #: CPCS4359
  • GA License #: LPC010164
  • MI License #: 6401004002
  • OR License #: C9773
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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