IndividualActive
Malisa Funderburk
NPI 1407589211 · Counselor · Buford, GA
Provider details
- NPI number
- 1407589211
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4330 S Lee St Ste 600
Buford, GA 30518-5795
Phone: (770) 648-2500
Street-level locationGet directions
Mailing address
4992 Price Dr
Suwanee, GA 30024-4186
Registry dates
- Enumerated
- 2022-07-08
- Last updated
- 2022-07-08
- Certified
- 2022-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.