MS. EBONY NICOLE DERRICKSON MS DDP
NPI 1881336907
Counselor - Mental Health in Loganville, GA
About Ms. Ebony Nicole Derrickson Ms Ddp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. EBONY NICOLE DERRICKSON MS DDP (NPI 1881336907) is an individual mental health provider in Loganville, Georgia and active in the NPI registry since April 2022. She maintains a secondary practice location in Snellville.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOGANVILLE, GA 30052
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 Ebony Derrickson's NPI number?
The NPI number for Ebony Derrickson is 1881336907. It was assigned to this individual provider in the NPPES registry on April 9, 2022.
Where is Ebony Derrickson located?
Ebony Derrickson practices at 125 Lee Byrd Rd, Loganville, GA 30052. The listed phone number is (678) 883-8609.
What is Ebony Derrickson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Ebony Derrickson was last updated on April 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
