Deborah C Shimberg, LPC001621
Individual provider Active NPI Professional Counselor · Avondale Estates, GA
NPI 1750173795 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1750173795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 001621 (GA)
- Practice address
- 3094 Stratford Green LN
Avondale Estates, GA 30002-1339 - Phone
- (404) 655-5592
- NPI assigned
- May 17, 2025
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001621 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001621 | GA | Yes |
Addresses
Primary practice location
3094 Stratford Green LN
Avondale Estates, GA 30002-1339
Mailing address
3094 Stratford Green LN
Avondale Estates, GA 30002-1339
Phone (404) 655-5592
Other providers in Avondale Estates, GA
- Anne Rice
- Julia Rizzo
- Afsoon Sanei
- Lauren Shemain
- Jessica Sherer
- Amer Sibai
- Anneliese Amanda Singh
- Charise Smith
- Amanda Stentiford
- Amy Lynne Stern
All providers in Avondale Estates, GA · Professional 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 Jun 9, 2025. 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.