NPI 1114880093

Michelle Kn Ennis

Practitioner Counselor Dacula, GA

Practice location

Address: 3960 Greenside CT, Dacula, GA 30019-4594
Phone: (678) 469-2872

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 11718 (GA)

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Registry record

NPI: 1114880093
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2025
Record last updated: 8 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.