Letrice Deloach, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009946 Issued in GA

Practice address

2510 Crest Ridge Dr
Atlanta, GA 30344-5779

Phone

(404) 202-2757

NPI assigned

Mar 15, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Balance Ground Counseling LLC

  • Mental Health Counselor
  • Fayetteville, GA
  • NPI 1053937490
  NPD Authorized official

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1730682865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 CREST RIDGE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303445779",
            "telephone_number": "404-202-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 CREST RIDGE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303445779",
            "telephone_number": "404-202-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOACH",
        "first_name": "LETRICE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "009946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Dell, RN
• Damon M Dell'Aglio, MD
• Claire Dellecker, CPNP
• Keith Delman, MD
• Cecilia Delmer
• Robert Wilson Deloatch IX
• Sydney Dawn Delor, MD
• Vera Sue Delorenzo, P.T.A.
• Daniel Patrick Delozier, PA-C
• David Martin Delozier, BSC, MPH

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.