Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adia Shaniqua Fields-Udofia

Individual provider Mental Health Counselor · NPI 1356203863

Adia Shaniqua Fields-Udofia is a Mental Health Counselor in Stone Mountain, Georgia. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2025

Practice location Address checks out

4600 Rockbridge Rd Ste D
Stone Mountain, GA 30083-7312
Phone: (678) 689-8481
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 014456 (GA)

Record details

NPI number1356203863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 2, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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