Individual provider · Type 1 NPI

Lewis Ponzo

Counselor · Decatur, GA

NPI number 1821621533 Active

Practice location

315 W Ponce De Leon Ave
Decatur, GA 30030-2400

Call (770) 609-6976 Map

Mailing address

4221 Medlock Mill Dr
Snellville, GA 30039-2720

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1821621533

Lewis Ponzo's National Provider Identifier is 1821621533, issued on Feb 20, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Decatur, GA. The record was last updated on May 11, 2026.