| Tracie Herold Lcsw, Llc | |
|
1240 Clairmont Rd Ste 207 Decatur GA 30030-1254 | |
| (678) 681-5111 | |
| Not Available |
| Full Name | Tracie Herold Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1240 Clairmont Rd Ste 207, Decatur, Georgia |
| Authorized Official Name and Position | Tracie Herold (OWNER) |
| Authorized Official Contact | 6786815111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie Herold Lcsw, Llc 1547 Coolwater Ct Decatur GA 30033-1809 Ph: (678) 681-5111 | Tracie Herold Lcsw, Llc 1240 Clairmont Rd Ste 207 Decatur GA 30030-1254 Ph: (678) 681-5111 |
| NPI Number | 1063972057 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 07/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063972057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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