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

Dr. Shannon K. Dunlap, PHD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1194950857

Dr. Shannon K. Dunlap, PHD is a Clinical Psychologist in Lagrange, Georgia. Qualified in 2009, 17 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
17
Licensed in
GA
In the registry since
2009
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

610 Ridley Ave
Lagrange, GA 30240-2236
Phone: (706) 884-5050
Fax: (706) 884-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY003497 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 202201 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence LPC004718 (GA)

Record details

NPI number1194950857
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 26, 2009
Last updated in NPPESFebruary 3, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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