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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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: July 19, 2026.

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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

Phone(678) 919-1077

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

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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.

CATHLEEN C SHEPHERD

Occupational Therapist

2655 DALLAS HWY SW, SUITE 320
MARIETTA, GA 30064

Cobb County (404) 314-7518

CATHLEEN SHEPHERD

Occupational Therapist

2655 DALLAS HWY SW, SUITE 320
MARIETTA, GA 30064

Cobb County (404) 314-7518

ABC PEDIATRIC THERAPY SERVICES, INC.

Speech-Language Pathologist

2655 DALLAS HWY SW, SUITE 320
MARIETTA, GA 30064

Cobb County (404) 556-5554

MR. KENNETH D JOHNSON M.A., LPC

Counselor (Mental Health)

2655 DALLAS HWY SW, SUITE 230
MARIETTA, GA 30064

Cobb County (770) 419-5657

DR. CHRISTINE K BEARD PH.D.

Psychologist (Counseling)

2655 DALLAS HWY SW, SUITE 230
MARIETTA, GA 30064

Cobb County (770) 419-5657

BE ORTHODONTICS, INC

Dentist (Orthodontics and Dentofacial Orthopedics)

2655 DALLAS HWY SW, SUITE 640
MARIETTA, GA 30064

Cobb County (770) 420-7071

DEBRA A PORTER DC

Chiropractor

2655 DALLAS HWY SW, SUITE 110
MARIETTA, GA 30064

Cobb County (770) 427-1889

DR. MICHAEL EDWARD VAUGHAN DDS

Dentist (General Practice)

2655 DALLAS HWY SW, SUITE 510
MARIETTA, GA 30064

Cobb County (770) 422-8776

Frequently Asked Questions

What is Patrice Jucks's NPI number?

The NPI number assigned to this healthcare provider is 1063717197, enumerated as an "individual" on January 20, 2011.

Where is the provider located?

The provider is located at 2655 DALLAS HWY SW STE 530 MARIETTA, GA 30064 and the phone number is (678) 919-1077.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.