Provider Demographics
NPI:1508410473
Name:DUNSON, AMEKIA (LPC)
Entity Type:Individual
Prefix:
First Name:AMEKIA
Middle Name:
Last Name:DUNSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:AMEKIA
Other - Middle Name:LANETTE
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:85 TYUS CARROLLTON RD
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-8254
Mailing Address - Country:US
Mailing Address - Phone:770-834-0021
Mailing Address - Fax:
Practice Address - Street 1:85 TYUS CARROLLTON RD
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-8254
Practice Address - Country:US
Practice Address - Phone:770-834-0021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011130101YP2500X
GAAPC005425101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional