Individual provider · Type 1 NPI

Iriss Mickens, LMSW

Counselor · Decatur, GA

NPI number 1124861604 Active

Practice location

455 Winn Way
Decatur, GA 30030-1707

Call (404) 508-6430 Map

Mailing address

445 Winn Way
Decatur, GA 30030-1707

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XMSW009542 (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.

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About NPI 1124861604

Iriss Mickens, LMSW's National Provider Identifier is 1124861604, issued on Jun 13, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Decatur, GA. The record was last updated on Jun 13, 2024.