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NPI Code Detail

MEDICARE: MR. THOMAS JAMES MOTT LPC

MEDICARE:  MR. THOMAS JAMES MOTT  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
1101YP2500XProfessional Counselor8164SC
2101YP2500XProfessional CounselorLPC011164GA

General Provider Information

NPI Number : 1306046933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS JAMES MOTT LPC
Provider Business Mailing Address
First Line : 5965 PARKWAY NORTH BLVD STE C
Second Line :
City : CUMMING
State : GA
Zip : 30040-1431
Country : US
Telephone Number : 770-886-5700
Fax Number : 770-886-0404
Provider Business Practice Location Address
First Line : 5965 PARKWAY NORTH BLVD STE C
Second Line :
City : CUMMING
State : GA
Zip : 30040-1431
Country : US
Telephone Number : 770-886-5700
Fax Number : 770-886-0404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2007
Last Update Date : 12/16/2025

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