NPI 1114684818 · live from the CMS NPI Registry
Tanya Avery
Marriage & Family Therapist in Norcross, GA. National Provider Identifier 1114684818, active.
NPI record
| NPI | 1114684818 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 5161 Brook Hollow Pkwy Ste 224, Norcross, GA 30071 |
| Practice phone | 470-261-1392 |
| Enumerated | November 17, 2021 |
| Last updated | November 17, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | AMFT000669 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.