Individual provider · Type 1 NPI
Teristan Cooper, LPC
Professional Counselor · Mableton, GA
NPI number
1174133128
Active
Practice location
981 Regal Hills Ln
Mableton, GA 30126-7260
Mailing address
3977 Covey Flush Ct SW
Smyrna, GA 30082-3559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC011471 (GA) |
Professional Counselor: Definition to come...
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About NPI 1174133128
Teristan Cooper, LPC's National Provider Identifier is 1174133128, issued on Aug 5, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mableton, GA. The record was last updated on Aug 4, 2025.