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NPI Code Detail

MEDICARE: DR. D DIONNE BATES LPC

MEDICARE: DR. D DIONNE BATES 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 CounselorLPC005007GA

General Provider Information

NPI Number : 1366625105
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. D DIONNE BATES LPC
Provider Business Mailing Address
First Line : 2470 WINDY HILL RD SE STE 300
Second Line :
City : MARIETTA
State : GA
Zip : 30067-8621
Country : US
Telephone Number : 912-755-7069
Fax Number : 912-480-9733
Provider Business Practice Location Address
First Line : 2470 WINDY HILL RD SE STE 300
Second Line :
City : MARIETTA
State : GA
Zip : 30067-8621
Country : US
Telephone Number : 912-755-7069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2007
Last Update Date : 07/26/2019

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Directions to “ DR. D DIONNE BATES LPC” Practice Location

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