Individual
RICHARD COOPER SPIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AMFT
Contact information
Practice address
6055 LAKESIDE COMMONS DR, MACON, GA 31210-5790
(478) 238-9344
Mailing address
6055 LAKESIDE COMMONS DR, MACON, GA 31210-5790
(478) 238-9344
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT000771
GA
106H00000X
Marriage & Family Therapist
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Other
Enumeration date
08/31/2021
Last updated
04/03/2023
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