LUCRETIA DUBOSE PSYCHOTHERAPY
NPI 1164237772
Counselor - Professional in Avondale Estates, GA
- Organization
- Counselor
- Professional
About LUCRETIA DUBOSE PSYCHOTHERAPY
This page provides the complete NPI Profile along with additional information for Lucretia Dubose Psychotherapy, a provider established in Avondale Estates, Georgia operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1164237772 assigned on February 2025. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Lucretia Dubose (Owner)
- NPI
- 1164237772 Verify this NPI
- Provider Name
- LUCRETIA DUBOSE PSYCHOTHERAPY
- Entity Type
- Organization
- Location Address
- 32 EXETER RD AVONDALE ESTATES, GA 30002
- Location Phone
- (706) 280-2214
- Mailing Address
- 32 EXETER RD AVONDALE ESTATES, GA 30002
- Mailing Phone
- (706) 280-2214
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-11-2025
- Last Update Date
- 02-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164237772, enumerated as an "organization" on February 11, 2025.
The provider is located at 32 EXETER RD AVONDALE ESTATES, GA 30002 and the phone number is (706) 280-2214.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
