PHYLLIS CARRERA NPI 1952797219

NPI Information

NPI: 1952797219
Provider Name: PHYLLIS CARRERA
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1788 CENTURY BLVD NE STE B
ATLANTA, GA
ZIP 30345
Phone: (678) 360-6018
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PHYLLIS CARRERA is a professional counselor in Atlanta, GA. PHYLLIS CARRERA NPI is 1952797219. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1788 CENTURY BLVD NE STE B
ATLANTA, GA
ZIP 30345-321
Phone: (678) 360-6018

The provider's authorized official is Phyllis Ann Carrera .
The authorized official title is Licenced Professional Counselor and has the following contact phone number (678) 360-6018.

The enumeration date for this NPI number is 4/13/2015 and was last updated on 4/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC006957	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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