Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shilene Moultrie-Johnson, EDD

Individual provider Professional Counselor · NPI 1285072470

Dr. Shilene Moultrie-Johnson, EDD is a Professional Counselor in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2013
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

190 Eli Run
Fayetteville, GA 30214-3723
Phone: (678) 382-4999
Fax: (770) 461-4306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1312032 (MA)

Record details

NPI number1285072470
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD
Sole proprietorYes
NPI enumeratedJune 10, 2013
Last updated in NPPESJune 10, 2013

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