CAROLYN ROSE TUCKER LPC
NPI 1053688143
Counselor - Professional in Conyers, GA

Q: What is Carolyn Tucker's NPI number?

The NPI number for Carolyn Tucker is 1053688143. It was assigned to this individual provider in the NPPES registry on November 17, 2011.

Q: What is Carolyn Tucker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Tucker was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 17, 2011

1009 MILSTEAD AVE NE STE 210, CONYERS, GA 30012(770) 789-0847 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Carolyn Rose Tucker Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN ROSE TUCKER LPC (NPI 1053688143) is an individual professional provider in Conyers, Georgia, licensed in Georgia (LPC007670) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1053688143

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCAROLYN ROSE TUCKERCredential: LPC

Location Address1009 MILSTEAD AVE NE STE 210Conyers, GA 30012-4510

Mailing Address2424 Santa Barbra Ct SeConyers, GA 30013-2006 · (770) 789-0847

Phone(770) 789-0847

Sole ProprietorNo

Enumeration DateNovember 17, 2011

Last NPPES UpdateJanuary 28, 2014

✔ NPI 1053688143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC007670

1009 MILSTEAD AVE NE STE 210, Conyers, GA 30012

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Tucker's NPI number?

The NPI number for Carolyn Tucker is 1053688143. It was assigned to this individual provider in the NPPES registry on November 17, 2011.

Where is Carolyn Tucker located?

Carolyn Tucker practices at 1009 Milstead Ave NE Ste 210, Conyers, GA 30012. The listed phone number is (770) 789-0847.

What is Carolyn Tucker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Carolyn Tucker was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.