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Organization

DR SHAWN THE LPC

Active
Other names
Dr. Shawn, THE LPC & Associates
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARNE FUQUA LPC (OWNER/OPERATOR)
(800) 554-0000
Entity
Organization

Contact information

Practice address
105 CHANDLER RIDGE LN, LAWRENCEVILLE, GA 30045-6524
(334) 384-3331
(800) 554-2503
Mailing address
930 NEW HOPE RD STE 11-652, LAWRENCEVILLE, GA 30045-6407
(313) 492-0000
(800) 554-2503

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
11/15/2023
Last updated
05/16/2026
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