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NPI Code Detail

MEDICARE: ALISHA MACAULEY M.S., NCC, LPC

MEDICARE:   ALISHA  MACAULEY  M.S., NCC, 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 CounselorLPC005320GA

General Provider Information

NPI Number : 1538147442
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISHA MACAULEY M.S., NCC, LPC
Provider Business Mailing Address
First Line : P.O. BOX 391711
Second Line :
City : SNELLVILLE
State : GA
Zip : 30039
Country : US
Telephone Number : 404-857-7152
Fax Number : 404-478-9525
Provider Business Practice Location Address
First Line : 2330 SCENIC HWY S
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-3115
Country : US
Telephone Number : 678-971-2000
Fax Number : 404-478-9525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 07/07/2020

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