DR. PATRICE EUSTACHE JUCKS EDD, LPC
NPI 1063717197
Counselor - Professional in Marietta, GA

Active since January 20, 2011
2655 DALLAS HWY SW, STE 530, MARIETTA, GA 30064(678) 919-1077 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Patrice Eustache Jucks Edd, Lpc NPPES

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

DR. PATRICE EUSTACHE JUCKS EDD, LPC (NPI 1063717197) is an individual professional provider in Marietta, Georgia, licensed in Georgia (LPC005669) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1063717197
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. PATRICE EUSTACHE JUCKSCredential: EDD, LPC
Location Address2655 DALLAS HWY SW, STE 530Marietta, GA 30064-2597
Mailing Address4405 Northside Pkwy Nw Apt 2414Atlanta, GA 30327-5206 · (770) 715-6880
Sole ProprietorYes
Enumeration DateJanuary 20, 2011
Last NPPES UpdateOctober 31, 2013
NPI 1063717197 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 · LPC005669
2655 DALLAS HWY SW, Marietta, GA 30064

Other Names 1

Former Name (1)Patrice Vaughn Eustache M.ed., Lpc

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
2655 DALLAS HWY SW, SUITE 310
MARIETTA, GA 30064
Speech-Language Pathologist
2655 DALLAS HWY SW
MARIETTA, GA 30064
Speech-Language Pathologist
2655 DALLAS HWY SW, SUITE 320
MARIETTA, GA 30064
Counselor
2655 DALLAS HWY SW, SUITE 240
MARIETTA, GA 30064
Dentist (Orthodontics and Dentofacial Orthopedics)
2655 DALLAS HWY SW, SUITE 640
MARIETTA, GA 30064
Counselor (Professional)
2655 DALLAS HWY SW, SUITE 310
MARIETTA, GA 30064
Dentist (General Practice)
2655 DALLAS HWY SW, SUITE 510
MARIETTA, GA 30064
Occupational Therapist
2655 DALLAS HWY SW, SUITE 320
MARIETTA, GA 30064

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 Patrice Jucks's NPI number?

The NPI number for Patrice Jucks is 1063717197. It was assigned to this individual provider in the NPPES registry on January 20, 2011. The provider is also known as Patrice Vaughn Eustache M.Ed., Lpc.

Where is Patrice Jucks located?

Patrice Jucks practices at 2655 Dallas Hwy SW Ste 530, Marietta, GA 30064. The listed phone number is (678) 919-1077.

What is Patrice Jucks'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 Patrice Jucks was last updated on October 31, 2013. 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.