| Tracey K. Wyatt, Llc | |
|
834 Prince Ave Athens GA 30606-2724 | |
| (800) 340-8020 | |
| Not Available |
| Full Name | Tracey K. Wyatt, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 834 Prince Ave, Athens, Georgia |
| Authorized Official Name and Position | Tracey K Wyatt (LICENSED PROFESSIONAL COUNSELOR/CEO) |
| Authorized Official Contact | 8003408020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey K. Wyatt, Llc 834 Prince Ave Athens GA 30606-2724 Ph: (800) 340-8020 | Tracey K. Wyatt, Llc 834 Prince Ave Athens GA 30606-2724 Ph: (800) 340-8020 |
| NPI Number | 1346671682 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 12/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346671682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 006178 (Georgia) | Primary |
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