Individual provider · Type 1 NPI
Marchketa Smallwood, LPC
Mental Health Counselor · Fairburn, GA
NPI number
1386557270
Active
Practice location
405 Abbey Springs Ct
Fairburn, GA 30213-6451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC017446 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1386557270
Marchketa Smallwood, LPC's National Provider Identifier is 1386557270, issued on Sep 23, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairburn, GA. The record was last updated on Sep 23, 2026.