O Anita Brackett, LPC006323
Individual provider Active NPI Professional Counselor · Clarkesville, GA
NPI 1780982249 · NPPES record last updated Mar 8, 2011
Key facts
- NPI
- 1780982249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC006323 (GA)
- Practice address
- 1419 Washington St Ste 212
Clarkesville, GA 30523-5430 - Phone
- (706) 809-8601
- Fax
- (706) 865-5358
- NPI assigned
- Mar 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006323 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC006323 | GA | Yes |
Addresses
Primary practice location
1419 Washington St Ste 212
Clarkesville, GA 30523-5430
Mailing address
160 Three Sisters TRL
Cleveland, GA 30528-7289
Phone (706) 809-8601
Other providers in Clarkesville, GA
- Caroline Baggott
- Mark Alan Beach
- Christy Lee Bivins
- Blue Ridge Health LLC
- Regina Ann Boling
- Steve Butler
- Erin Faith Byers
- Rebecca Lea Calvert Lehmicke
- Cary S. Miller, DMD, PC
- Centerpoint Counseling Services
All providers in Clarkesville, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.