Individual
DR. COREY MILSAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Contact information
Practice address
175 CARNEGIE PL STE 117, FAYETTEVILLE, GA 30214-7903
(678) 833-5395
(844) 799-6134
Mailing address
250 GEORGIA AVE E UNIT 142181, FAYETTEVILLE, GA 30214-5546
(678) 833-5395
(844) 799-6134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008253
GA
101YP2500X
Professional Counselor
LPC008253
GA
103T00000X
Psychologist
SS1424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003163439B
—
GA
05
—
003163439D
—
GA
Enumeration date
02/12/2015
Last updated
02/12/2019
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