Provider Demographics
NPI:1336428515
Name:KNIGHT, MONIQUE HALL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:HALL
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:DIONNE
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1429 SMITHSON DR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-6155
Mailing Address - Country:US
Mailing Address - Phone:404-399-1366
Mailing Address - Fax:
Practice Address - Street 1:7910 MALL RING RD STE 210
Practice Address - Street 2:
Practice Address - City:STONECREST
Practice Address - State:GA
Practice Address - Zip Code:30038-2698
Practice Address - Country:US
Practice Address - Phone:404-585-7533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005853101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional