MEDICARE: MACY HUCKABY

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1568313179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACY HUCKABY

Provider Business Mailing Address
First Line	:	230 W COLLEGE ST STE D
Second Line	:
City	:	GRIFFIN
State	:	GA
Zip	:	30224-4249
Country	:	US
Telephone Number	:	678-688-3133
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 W COLLEGE ST STE D
Second Line	:
City	:	GRIFFIN
State	:	GA
Zip	:	30224-4249
Country	:	US
Telephone Number	:	678-688-3133
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ MACY HUCKABY ” Practice Location

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