T. Wyatt LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

006178 Issued in GA

Legal business name

T. WYATT LLC

Practice address

834 Prince Ave
Athens, GA 30606-2724

Phone

(800) 340-8020

NPI assigned

Dec 12, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Tracey K Wyatt, LPCNPI 1851530786

Title

Licensed Professional Counselor/Ceo

Phone

(800) 340-8020

Specialties & licenses 1

Addresses

Other names 1

• Tracey K. Wyatt, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey Wyatt, LPC

  • Professional Counselor
  • Athens, GA
  • NPI 1851530786
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1346671682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062724",
            "telephone_number": "800-340-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062724",
            "telephone_number": "800-340-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. WYATT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR/CEO",
        "authorized_official_telephone_number": "800-340-8020",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "006178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracey K. Wyatt, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawson Delano Swint Jr., PHARM D
• Sydney Felker-Ross, PH.D. LLC
• Josephine Szlachetka
• T Leige Host Home
• T Wyatt LLC
• Sumeer Tah
• Hindia Tahir, M.D.
• Oluwabukola Ibukunoluwa Taiwo, M.D.
• William C Tally, MD
• Nadia Tamia, MD

• Community/Behavioral Health Agency in Athens, GA
• Providers in Athens, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.