Provider Demographics
NPI:1982496345
Name:VORE, ROBERT BRENNAN (LPC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:BRENNAN
Last Name:VORE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4119 RADCLIFFE CT
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-5913
Mailing Address - Country:US
Mailing Address - Phone:678-314-2779
Mailing Address - Fax:
Practice Address - Street 1:2799 NORTHSIDE DR NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2805
Practice Address - Country:US
Practice Address - Phone:404-884-8247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013035101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health