Provider Demographics
NPI:1609270198
Name:ARNOLD, SHENITHIA SHONTEL (EDD, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:SHENITHIA
Middle Name:SHONTEL
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:EDD, LPC, NCC
Other - Prefix:MS
Other - First Name:SHENITHIA
Other - Middle Name:SHONTEL
Other - Last Name:PARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, BA
Mailing Address - Street 1:8275 EASTSHORE DR
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-6028
Mailing Address - Country:US
Mailing Address - Phone:404-895-7109
Mailing Address - Fax:
Practice Address - Street 1:2751 BUFORD HWY NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3207
Practice Address - Country:US
Practice Address - Phone:678-744-6965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-13
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007831101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health