Phyllis Renee Dumas-Combs, LPC

Individual provider Active NPI Mental Health Counselor · Winston, GA

NPI 1275907933 · NPPES record last updated Jan 5, 2025

Key facts

NPI
1275907933
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
009696 (GA)
Practice address
7400 Rolling Oaks Dr
Winston, GA 30187-2057
Phone
(678) 361-1261
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPC009696GAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC009696 GA
Mental Health Counselor 101YM0800X 009696 GA Yes

Addresses

Primary practice location

7400 Rolling Oaks Dr
Winston, GA 30187-2057

Mailing address

7400 Rolling Oaks Dr
Winston, GA 30187-2057
Phone (678) 361-1261

Other providers in Winston, GA

All providers in Winston, GA · Mental Health Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.