Active NPI 1730616004 Individual Practitioner Female Practitioner

Shanda Marie Mobley-Taylor , LPC

Counselor - Professional • Rincon, GA

Professional Overview & Biography Verified Profile Summary

Shanda Mobley-Taylor, LPC is a registered healthcare professional specializing in Counselor - Professional in Rincon, GA. Practice services are available at 5805 HIGHWAY 21 S STE 18-19 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5805 Highway 21 S Ste 18-19

Rincon, GA 313265511

Telephone 9126678806

Associated Practice Facility / Clinic

🏢 Inspired Vision Counseling Llc Facility NPI 1356071765

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rincon, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

20 Specialists

Practicing in Rincon, GA (6655 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-05-04

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA 009578

Definition to come...

Secondary Practice Locations

1009 N Columbia Ave

Rincon, GA 313266828

Phone: 9126579613

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location May 04, 2022

Registered at 5805 HIGHWAY 21 S STE 18-19, RINCON, GA 313265511 (Tel: 9126678806)

📍

Updated Practice Location April 24, 2020

Registered at 1009 N COLUMBIA AVE, RINCON, GA 313266828 (Tel: 9126579613)

✅

NPI Profile Active May 17, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 17, 2017

Registered at 100 AUTUMN DR, RINCON, GA 313265675 (Tel: (912) 667-8806)

📍

Updated Business Mailing Address May 17, 2017

Registered at 100 AUTUMN DR, RINCON, GA 313265675 (Tel: 9126678806)

👤

Provider Name / Credentials Updated May 17, 2017

Recorded as SHANDA MOBLEY-TAYLOR, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2017

Counselor (License #009578 in GA)

🟢

Initial NPI Registration & Enumeration May 17, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730616004

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 17, 2017

Last Update: May 04, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

100 Autumn Dr

Rincon, GA 313265675

Phone: 9126678806

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.