MEDICARE: TAMEKIA NEKIA HOWARD 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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	1225359334	GA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YM0800X	Mental Health Counselor	LPC010599	GA

General Provider Information

NPI Number	:	1225359334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMEKIA NEKIA HOWARD LPC

Provider Business Mailing Address
First Line	:	3343 PEACHTREE RD NE STE 145-412
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30326-1085
Country	:	US
Telephone Number	:	470-633-7853
Fax Number	:

Provider Business Practice Location Address
First Line	:	3343 PEACHTREE RD NE STE 145-412
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30326-1085
Country	:	US
Telephone Number	:	470-633-7853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2010
Last Update Date	:	08/20/2024

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