Provider Demographics
NPI:1477006823
Name:GORI, DAWN NIKI (MA, BC-TMH, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:NIKI
Last Name:GORI
Suffix:
Gender:F
Credentials:MA, BC-TMH, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1827 POWERS FERRY RD SE # 23-200A
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-5621
Mailing Address - Country:US
Mailing Address - Phone:404-635-6674
Mailing Address - Fax:
Practice Address - Street 1:1640 POWERS FERRY RD SE BLDG 8-150
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-1476
Practice Address - Country:US
Practice Address - Phone:770-845-8804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
GALPC9565101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional