Provider Demographics
NPI:1750674636
Name:MCALLISTER, MICHAEL DOWNS JR (MA, MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DOWNS
Last Name:MCALLISTER
Suffix:JR
Gender:M
Credentials:MA, MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 MILL POND DR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-3831
Mailing Address - Country:US
Mailing Address - Phone:404-368-2773
Mailing Address - Fax:
Practice Address - Street 1:2215 CHESHIRE BRIDGE RD NE
Practice Address - Street 2:SUITE C3
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-4234
Practice Address - Country:US
Practice Address - Phone:404-368-2773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007418101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health