Individual provider · Type 1 NPI
Lakanya Dawnielle Jacobs
Peer Specialist · Austell, GA
NPI number
1265317747
Active
Practice location
7485 Factory Shoals Rd Ste B2
Austell, GA 30168-7660
Mailing address
65 Katelen Ct
Covington, GA 30016-7720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Another provider at this address
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About NPI 1265317747
Lakanya Dawnielle Jacobs's National Provider Identifier is 1265317747, issued on Aug 6, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Austell, GA. The record was last updated on Aug 6, 2025.