Organization
TRACEY TAYLOR CARTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY TAYLOR CARTER LPC (LICENSED PROFESSIONAL COUNSELOR)
(706) 284-2752
Entity
Organization
Contact information
Practice address
1265 INTERSTATE PKWY, SUITE B, AUGUSTA, GA 30909-6481
(706) 284-2752
Mailing address
2703 BIG DOG TRL, HEPHZIBAH, GA 30815-4998
(706) 284-2752
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC006844
GA
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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