| Tracey Taylor Carter | |
|
1265 Interstate Pkwy Suite B Augusta GA 30909-6481 | |
| (706) 284-2752 | |
| Not Available |
| Full Name | Tracey Taylor Carter |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1265 Interstate Pkwy, Augusta, Georgia |
| Authorized Official Name and Position | Tracey Taylor Carter (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7062842752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Taylor Carter 2703 Big Dog Trl Hephzibah GA 30815-4998 Ph: (706) 284-2752 | Tracey Taylor Carter 1265 Interstate Pkwy Suite B Augusta GA 30909-6481 Ph: (706) 284-2752 |
| NPI Number | 1649702739 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649702739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC006844 (Georgia) | Primary |
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