Individual provider · Type 1 NPI
Michelle KN Ennis
Counselor · Dacula, GA
NPI number
1114880093
Active
Practice location
3960 Greenside Ct
Dacula, GA 30019-4594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 11718 (GA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Dacula
About NPI 1114880093
Michelle KN Ennis's National Provider Identifier is 1114880093, issued on Dec 8, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Dacula, GA. The record was last updated on Dec 8, 2025.