Lori Ann Holbrook, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC003974 Issued in GA

Practice address

137 Prominence CT
Suite 120
Dawsonville, GA 30534-8953

Phone

(706) 265-8224

NPI assigned

Aug 3, 2009

Last updated

Feb 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lori Ann Puckett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Counseling Associates of North Georgia LLC

  dba Family Counseling Associates of North Georgia

  • Professional Counselor
  • Cumming, GA
  • NPI 1861645376
  NPD (past)

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1407087836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PROMINENCE CT",
            "address_2": "SUITE 120",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348953",
            "telephone_number": "706-265-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PROMINENCE CT",
            "address_2": "SUITE 120",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348953",
            "telephone_number": "706-265-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "PUCKETT",
            "middle_name": "ANN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mayra Hernandez, INTERN
• Diego Fernando Herrera, DO
• Mary Kathleen Hesidence, FNP-C
• Victoria Hill, NP-BC
• Kerri Blair Hilliard
• Paige Reece Hood, FNP-C
• Paula Hubbard Hood, RPH
• Jennifer M Hosea, M.ED., LPC, RPT-S
• Carol Howard
• Kathy A Howell, LPC, PHD

• Professional Counselor in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.