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TRACY CULLOM MA, LAPC
NPI 1811503402
Counselor - Professional in Suwanee, GA

Active since September 18, 2020
4411 SUWANEE DAM RD, SUWANEE, GA 30024(678) 993-8464 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracy Cullom Ma, Lapc NPPES

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

TRACY CULLOM MA, LAPC (NPI 1811503402) is an individual professional provider in Suwanee, Georgia, licensed in Georgia (APC007578) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1811503402
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACY CULLOMCredential: MA, LAPC
Location Address4411 SUWANEE DAM RDSuwanee, GA 30024-8701
Mailing Address180 Pioneer DrAthens, GA 30605-4016 · (404) 259-8465
Phone(678) 993-8464
Sole ProprietorYes
Enumeration DateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
✔ NPI 1811503402 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 · APC007578
4411 SUWANEE DAM RD, Suwanee, GA 30024
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MARY GRACE THOMAS, PH.D.,P.C.
Psychologist
4411 SUWANEE DAM RD, SUITE 920
SUWANEE, GA 30024
Gwinnett County (678) 714-9590
MRS. WENDY BARIBEAU LAMFT
Marriage & Family Therapist
4411 SUWANEE DAM RD, SUITE 720
SUWANEE, GA 30024
Gwinnett County (678) 993-8494
MINDY PIERCE
Counselor (Professional)
4411 SUWANEE DAM RD, SUITE 440
SUWANEE, GA 30024
Gwinnett County (404) 861-0942
AMPARO GABRIELA SOTO OT
Occupational Therapist
4411 SUWANEE DAM RD
SUWANEE, GA 30024
Gwinnett County (678) 482-2158
JEFF WEBER, ED.D., P.C.
Psychologist
4411 SUWANEE DAM RD, SUITE 920
SUWANEE, GA 30024
Gwinnett County (678) 714-9590
MARIA-ELENA GROGAN BOVE PT
Physical Therapist
4411 SUWANEE DAM RD, SUITE 330
SUWANEE, GA 30024
Gwinnett County (770) 904-2332
DR. JUDY ANN KERLEY PH.D.
Psychologist (Clinical)
4411 SUWANEE DAM RD, SUITE 920
SUWANEE, GA 30024
Gwinnett County (678) 714-9590
JOHN DAVID BOVE PT
Physical Therapist
4411 SUWANEE DAM RD, SUITE 330
SUWANEE, GA 30024
Gwinnett County (770) 904-2332

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 Tracy Cullom's NPI number?

The NPI number for Tracy Cullom is 1811503402. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Tracy Cullom located?

Tracy Cullom practices at 4411 Suwanee Dam Rd, Suwanee, GA 30024. The listed phone number is (678) 993-8464.

What is Tracy Cullom'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 Tracy Cullom was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.