Individual
ERIC RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2295 PARKLAKE DR NE STE 558, ATLANTA, GA 30345-2844
(770) 988-6525
Mailing address
3904 N DRUID HILLS RD # 232, DECATUR, GA 30033-3105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC013033
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC013033
GA
101YM0800X
Mental Health Counselor
Primary
LPC013033
GA
101YP2500X
Professional Counselor
LPC013033
GA
Other
Enumeration date
05/13/2019
Last updated
11/05/2025
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