Individual
LISA RENEE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1899 POWERS FERRY RD SE FL 2, ATLANTA, GA 30339-5620
(678) 831-0608
(678) 831-0564
Mailing address
1899 POWERS FERRY RD SE FL 2, ATLANTA, GA 30339-5620
(678) 831-0608
(678) 831-0564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C.0007729
OH
101YP2500X
Professional Counselor
Primary
LPC010447
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000488649
ANTHEM BLUE CROSS PIN
OH
Enumeration date
12/08/2006
Last updated
03/03/2026
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