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

Dr. Ian James Mudge, LPC

Individual provider Mental Health Counselor · NPI 1700414539

Dr. Ian James Mudge, LPC is a Mental Health Counselor in Stone Mountain, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5320 Cumberland Way
Stone Mountain, GA 30087-4211
Phone: (862) 201-3495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2999 Piedmont Rd Ne Ste 100, Atlanta, GA 30305-2792 — (862) 201-3495

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC013731 (GA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1700414539
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 28, 2020
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing address5320 Cumberland Way, Stone Mountain, GA 30087-4211

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