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

Mary Agnes Dallas

Individual provider Mental Health Counselor · NPI 1043674443

Mary Agnes Dallas is a Mental Health Counselor in Atlanta, Georgia. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

2302 Parklake Dr NE Ste 350
Atlanta, GA 30345-2896
Phone: (770) 621-0469
Fax: (770) 621-0466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1043674443
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESApril 12, 2016

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