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

Individual provider Professional Counselor · NPI 1073281804

Enricka Victoria Maddox, LPC is a Professional Counselor in Conyers, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1500 Klondike Rd SW Ste A103
Conyers, GA 30094-5115
Phone: (770) 609-1936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45 Tabor Trce, Oxford, GA 30054-4049 — (404) 453-3680

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC008094 (GA)

Record details

NPI number1073281804
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 7, 2021
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 1, 2021

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