MEDICARE: MRS. ATCHAFALA M TUCKER LCPC

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	101YP2500X	Professional Counselor	PC-0011664	DE
2	101YP2500X	Professional Counselor	LC15677	MD

General Provider Information

NPI Number	:	1467291815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ATCHAFALA M TUCKER LCPC

Provider Business Mailing Address
First Line	:	173 SAINT PATRICKS DR STE 104-383
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-5529
Country	:	US
Telephone Number	:	302-383-7255
Fax Number	:

Provider Business Practice Location Address
First Line	:	173 SAINT PATRICKS DR STE 104-383
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-5529
Country	:	US
Telephone Number	:	302-383-7255
Fax Number	:

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

Provider Enumeration Date	:	05/23/2024
Last Update Date	:	04/10/2026

Similar Medicare Providers

1942477559 — ROSEMARY JOSEPH VERGHESE M.D
Practice Location Address:

173 SAINT PATRICKS DR , SUITE 201
WALDORF, MD
20603-5529

Practice Phone: 301-396-3401
Practice Fax:

1043457468 — MID ATLANTIC SKIN SURGERY INSTITUTE
Practice Location Address:

173 SAINT PATRICKS DR , SUITE 201
WALDORF, MD
20603-5529

Practice Phone: 301-475-8091
Practice Fax: 301-472-6712

1619359213 — ST. CHARLES FAMILY DENTAL
Practice Location Address:

173 SAINT PATRICKS DR , SUITE 204
WALDORF, MD
20603-5529

Practice Phone: 301-645-6500
Practice Fax: 301-632-6492

1497313456 — MR. MICHAEL F BURGER LCPC
Practice Location Address:

173 SAINT PATRICKS DR
WALDORF, MD
20603-5529

Practice Phone: 240-257-2151
Practice Fax:

1720845019 — SEMEONA MARQUEZ ACUZAR-BRILLANTES RDH
Practice Location Address:

173 SAINT PATRICKS DR
WALDORF, MD
20603-5529

Practice Phone: 301-645-6500
Practice Fax:

1902600786 — RAMSEY COUNSELING AND CONSULTING, LLC
Practice Location Address:

173 SAINT PATRICKS DR
WALDORF, MD
20603-5529

Practice Phone: 443-333-0221
Practice Fax:

Directions to “ MRS. ATCHAFALA M TUCKER LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.