Provider Demographics
NPI:1245025188
Name:EVERETT, VERLICE MOLONDA (LPC)
Entity type:Individual
Prefix:
First Name:VERLICE
Middle Name:MOLONDA
Last Name:EVERETT
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 HUNTCLIFF VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-7504
Mailing Address - Country:US
Mailing Address - Phone:919-454-2476
Mailing Address - Fax:
Practice Address - Street 1:333 HUNTCLIFF VILLAGE CT
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-7504
Practice Address - Country:US
Practice Address - Phone:470-900-5623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC015686101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health