GRETCHEN H PEACOCK DMFT
NPI 1407924343
Counselor - Professional in Fayetteville, 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 November 30, 2006

115 HABERSHAM DR, FAYETTEVILLE, GA 30214(770) 461-9944(770) 461-9779 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Gretchen H Peacock Dmft NPPES

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

GRETCHEN H PEACOCK DMFT (NPI 1407924343) is an individual professional provider in Fayetteville, Georgia, licensed in Georgia (LPC001611) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1407924343

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameGRETCHEN H PEACOCKCredential: DMFT

Location Address115 HABERSHAM DRFayetteville, GA 30214

Mailing Address115 Habersham DrFayetteville, GA 30214 · (770) 461-9944 · Fax (770) 461-9779

Phone(770) 461-9944

Fax(770) 461-9779

Sole ProprietorNo

Enumeration DateNovember 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407924343 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 · LPC001611

115 HABERSHAM DR, Fayetteville, GA 30214

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›