NPI Registry.org

Kevin Tucker

NPI Registration Record

Provider / OrganizationNPIDate Certified
KEVIN TUCKER16293159162024-04-03

Kevin Tucker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1629315916. Registration indicates Kevin Tucker is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )

Entity TypeIndividual
Provider Name Kevin Tucker LPC
Practice Office Address5300 MEMORIAL DR STE 216
STONE MOUNTAIN, GA US
Practice Office Telephone6784816375
Practice Office Fax6783487215
Mailing Address5300 MEMORIAL DR STE 216
STONE MOUNTAIN, GA 300833134 US
Business Telephone6784816375
Business Fax6783487215
HPT Codes
CodePractice
License No
State
101YP2500X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Counselor
Behavioral Health & Social Service Providers
Counselor
Counselor: Professional

Behavioral Health/Substance Abuse/Psychiatry

Counselor Professional
Behavioral Health & Social Service Providers
Counselor
LPC007095
GA
OPI Codes
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