Individual provider · Type 1 NPI

Shandra Patrick, MFT

Mental Health Counselor · Atlanta, GA

NPI number 1104789064 Active

Practice location

1030 Fayetteville Rd SE
Atlanta, GA 30316-2921

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104789064

Shandra Patrick, MFT's National Provider Identifier is 1104789064, issued on Dec 8, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Dec 8, 2025.