Healthcare Provider Details

I. General information

NPI: 1245145200
Provider Name (Legal Business Name): PATRICIA JOAN CAPRARA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6050 SOUTHARD TRCE
CUMMING GA
30040-6343
US

IV. Provider business mailing address

18 OLD OAK TRL
DAHLONEGA GA
30533-2794
US

V. Phone/Fax

Practice location:
  • Phone: 551-282-9926
  • Fax:
Mailing address:
  • Phone: 770-540-7527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number017106
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: