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NPI Code Detail

MEDICARE: MS. EVELYN TOMMIE LPC

MEDICARE: MS. EVELYN TOMMIE 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 Counselor0701005366VA
2101YP2500XProfessional CounselorLPC002426GA
3101YP2500XProfessional Counselor3467SC

General Provider Information

NPI Number : 1487602892
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EVELYN TOMMIE LPC
Provider Business Mailing Address
First Line : 3424 PEACHTREE RD NE STE 2200
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1156
Country : US
Telephone Number : 323-205-7088
Fax Number : 833-419-0181
Provider Business Practice Location Address
First Line : 3424 PEACHTREE RD NE STE 2200
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1156
Country : US
Telephone Number : 323-205-7088
Fax Number : 833-419-0181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 11/05/2025

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