TRACI L GORDON
NPI 1649102856
Counselor - Mental Health in Suwanee, GA
Active since June 01, 2026
About Traci L Gordon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACI L GORDON (NPI 1649102856) is an individual mental health provider in Suwanee, Georgia and active in the NPI registry since June 2026. She maintains a secondary practice location in Roswell.
NPPES Registry Identity
NPI1649102856
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACI L GORDON
Location Address4411 SUWANEE DAM RD STE 450Suwanee, GA 30024-8706
Mailing Address727 Hairston Crossing CtStone Mountain, GA 30083-3431 · (678) 908-8077
Phone(770) 283-8386
Sole ProprietorYes
Enumeration DateJune 1, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1649102856 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4411 SUWANEE DAM RD STE 450, Suwanee, GA 30024
Secondary Practice Location 1
Location 1570 Colonial Park Dr Ste 315Roswell, GA 30075-3771 · Phone (404) 492-8187
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Mental Health)
4411 SUWANEE DAM RD STE 450
SUWANEE, GA 30024
SUWANEE, GA 30024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649102856, enumerated as an "individual" on June 01, 2026.
The provider is located at 4411 SUWANEE DAM RD STE 450 SUWANEE, GA 30024 and the phone number is (770) 283-8386.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
