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NPI Code Detail

MEDICARE: TAMEKA SHANTA KING LPC

MEDICARE: TAMEKA SHANTA KING LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorAPC004657GA
2101YP2500XProfessional CounselorLPC015366GA

General Provider Information

NPI Number : 1528438850
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMEKA SHANTA KING LPC
Provider Business Mailing Address
First Line : 6160 RIVEROAK TER
Second Line :
City : ATLANTA
State : GA
Zip : 30349-4078
Country : US
Telephone Number : 678-637-7853
Fax Number :
Provider Business Practice Location Address
First Line : 3424 PEACHTREE RD NE STE 2200
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1156
Country : US
Telephone Number : 404-436-2563
Fax Number : 866-277-9071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2015
Last Update Date : 06/26/2025

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Directions to “ TAMEKA SHANTA KING LPC” Practice Location

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