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General NPI Number Information
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NPI Number | 1356872386
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Entity Type | Individual
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Provider Name | TRICIA LEMELLE MD
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Gender | Female
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 990 HAMMOND DR STE 600
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City | ATLANTA
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State | GA
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Zip | 30328-5510
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Country | US
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Telephone | 678-861-1832
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Fax | 678-585-2259
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Provider Business Mailing Address
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Address Line | 3300 N TRIUMPH BLVD STE 500
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City | LEHI
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State | UT
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Zip | 84043-6475
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Country | US
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Telephone | 801-821-2781
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Fax | 801-901-1194
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 105644
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License Number State | GA
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