Provider Demographics
NPI:1780480400
Name:FLUELLEN-MANLEY, HOPE (LPC)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:FLUELLEN-MANLEY
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:FLUELLEN
Other - Last Name:MANLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2472 NAPA VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180-5881
Mailing Address - Country:US
Mailing Address - Phone:706-412-9973
Mailing Address - Fax:
Practice Address - Street 1:8735 DUNWOODY PL # 6466
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-2995
Practice Address - Country:US
Practice Address - Phone:706-412-9973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007463101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional