Individual provider · Type 1 NPI

Madison Grove

Mental Health Counselor · Tucker, GA

NPI number 1861344020 Active

Practice location

3754 Lavista Rd
Tucker, GA 30084-5626

Call (678) 983-4199 Map

Mailing address

2810 Elderberry Ln
Cumming, GA 30040-7181

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC015835 (GA)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1861344020

Madison Grove's National Provider Identifier is 1861344020, issued on Feb 11, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tucker, GA. The record was last updated on Feb 11, 2026.