IndividualActive
Shanda Mobley-Taylor, LPC
NPI 1730616004 · Professional Counselor · Rincon, GA
Provider details
- NPI number
- 1730616004
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 009578 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
5805 Highway 21 S Ste 18-19
Rincon, GA 31326-5511
Phone: (912) 667-8806
Street-level locationGet directions
Mailing address
100 Autumn Dr
Rincon, GA 31326-5675
Additional practice locations (1)
- 1009 N Columbia AveRincon, GA 31326-6828Phone: (912) 657-9613Fax: (912) 826-0233
Registry dates
- Enumerated
- 2017-05-17
- Last updated
- 2022-05-04
- Certified
- 2022-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.