Healthcare Provider Details

I. General information

NPI: 1427613314
Provider Name (Legal Business Name): DREW ISAAC GALE THRASHER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HANNAH THRASHER

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 CHAMBLEE DUNWOODY RD STE D2
CHAMBLEE GA
30341-2064
US

IV. Provider business mailing address

415 LADSON CT
DECATUR GA
30033-5378
US

V. Phone/Fax

Practice location:
  • Phone: 678-802-9355
  • Fax:
Mailing address:
  • Phone: 470-222-3940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: