TRACY CULLOM MA LAPC NPI 1811503402

NPI Information

NPI: 1811503402
Provider Name: TRACY CULLOM, MA, LAPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4411 SUWANEE DAM RD
SUWANEE, GA
ZIP 30024
Phone: (678) 993-8464
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Tracy Cullom, MA, LAPC is a professional counselor in Suwanee, GA. Tracy Cullom, MA, LAPC NPI is 1811503402. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4411 SUWANEE DAM RD
SUWANEE, GA
ZIP 30024-701
Phone: (678) 993-8464

The enumeration date for this NPI number is 9/18/2020 and was last updated on 9/18/2020.

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	APC007578	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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