Individual
TASHA J TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 17TH ST NW UNIT 4032, ATLANTA, GA 30363-2010
(678) 744-5514
Mailing address
390 17TH ST NW UNIT 4032, ATLANTA, GA 30363-2010
(678) 744-5514
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
16988
NC
101Y00000X
Counselor
Primary
LPC009004
GA
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
16988
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC009004
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
16988
NC
101YM0800X
Mental Health Counselor
LPC009004
GA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
16988
NC
101YP2500X
Professional Counselor
LPC009004
GA
101YP2500X
Professional Counselor
—
—
133V00000X
Registered Dietitian
LD004513
GA
133VN1006X
Metabolic Nutrition Registered Dietitian
LD004513
GA
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
LD004513
GA
Other
Enumeration date
12/05/2012
Last updated
04/14/2026
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