MEDICARE: ERICA RENEE MCCOY

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	106H00000X	Marriage & Family Therapist	002183	GA
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1437805488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA RENEE MCCOY

Provider Business Mailing Address
First Line	:	3795 THAMES RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-1511
Country	:	US
Telephone Number	:	678-799-5257
Fax Number	:

Provider Business Practice Location Address
First Line	:	3795 THAMES RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-1511
Country	:	US
Telephone Number	:	678-799-5257
Fax Number	:

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

Provider Enumeration Date	:	03/01/2022
Last Update Date	:	04/09/2026

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Directions to “ ERICA RENEE MCCOY ” Practice Location

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