MEDICARE: QUINTERIA TRAMECE WOODS

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	101YM0800X	Mental Health Counselor		GA

General Provider Information

NPI Number	:	1578427662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUINTERIA TRAMECE WOODS

Provider Business Mailing Address
First Line	:	3151 MOUNT ZION RD APT 10106
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-4678
Country	:	US
Telephone Number	:	256-454-0023
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 CORPORATE CENTER DR STE B
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-7214
Country	:	US
Telephone Number	:	770-728-3990
Fax Number	:

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

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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Directions to “ QUINTERIA TRAMECE WOODS ” Practice Location

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