Individual
DR. CHASSITY TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC, NCC
Contact information
Practice address
1885 WESTON LN, TUCKER, GA 30084-5503
(678) 431-0064
Mailing address
3204 CLUBSIDE VIEW CT, SNELLVILLE, GA 30039-4718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC012685
GA
101YM0800X
Mental Health Counselor
LPC012685
GA
101YP2500X
Professional Counselor
Primary
LPC012685
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235973488
—
GA
Enumeration date
01/27/2022
Last updated
10/25/2024
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