India I'Dalis Hudson
Individual provider Active NPI Mental Health Counselor · Guyton, GA
NPI 1497612592 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1497612592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 174 Scholar Rd
Guyton, GA 31312-6240 - Phone
- (912) 231-7061
- NPI assigned
- Jan 8, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | GA | Yes |
Addresses
Primary practice location
174 Scholar Rd
Guyton, GA 31312-6240
Mailing address
174 Scholar Rd
Guyton, GA 31312-6240
Phone (912) 231-7061
Other names
- India I'Dalis Mitchell
Other providers in Guyton, GA
- Lamica Grant
- Emily Hawkins
- Joanna Hicks
- Laura Moreland Hodges
- Lauren Horton
- Juanita Nichole Hudson
- Jacqueline Nicole Jackson
- Roland Robert Jackson Jr.
- Amanda Johnson-Kennehan
- Dan Bernard Johnson Jr.
All providers in Guyton, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.