Individual
AUDREY MISHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5635 PEACHTREE PKWY STE 180, NORCROSS, GA 30092-2823
(470) 938-6670
Mailing address
5635 PEACHTREE PKWY STE 180, PEACHTREE CORNERS, GA 30092-2823
(470) 938-6670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004297
GA
101YP2500X
Professional Counselor
Primary
LPC009812
GA
Other
Enumeration date
09/27/2017
Last updated
09/22/2025
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