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

Madison Grove

Individual provider Mental Health Counselor · NPI 1861344020

Madison Grove is a Mental Health Counselor in Tucker, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

3754 Lavista Rd
Tucker, GA 30084-5626
Phone: (678) 983-4199
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 LPC015835 (GA)

Record details

NPI number1861344020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 11, 2026
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address2810 Elderberry Ln, Cumming, GA 30040-7181

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