Healthcare Provider Details

I. General information

NPI: 1548626013
Provider Name (Legal Business Name): THOMI PRATT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2016
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2795 MAIN ST W STE 20B
SNELLVILLE GA
30078-3073
US

IV. Provider business mailing address

PO BOX 778
SNELLVILLE GA
30078-0778
US

V. Phone/Fax

Practice location:
  • Phone: 678-542-8202
  • Fax: 678-892-8575
Mailing address:
  • Phone: 678-344-7836
  • Fax: 678-892-8575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC012148
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: