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NPI Code Detail

MEDICARE: ASHLEIGH TRICKSEY LAPC

MEDICARE: ASHLEIGH TRICKSEY LAPC
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
1101Y00000XCounselorAPC007431GA

General Provider Information

NPI Number : 1245713494
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEIGH TRICKSEY LAPC
Provider Business Mailing Address
First Line : 3911 MARY ELIZA TRCE NW STE 200
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1088
Country : US
Telephone Number : 678-235-8013
Fax Number :
Provider Business Practice Location Address
First Line : 3911 MARY ELIZA TRCE NW STE 200
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1088
Country : US
Telephone Number : 678-235-8013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2018
Last Update Date : 02/21/2023

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Directions to “ ASHLEIGH TRICKSEY LAPC” Practice Location

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