NPI 1932258084 · live from the CMS NPI Registry
William Carl Bacon, D.Min.
Marriage & Family Therapist in Atlanta, GA. National Provider Identifier 1932258084, active.
NPI record
| NPI | 1932258084 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 50 Hurt Plz Se, Suite 800, Atlanta, GA 30303 |
| Practice phone | 404-507-1063 |
| Mailing address | 189 Castlewood Rd, Tyrone, GA 30290 |
| Enumerated | January 9, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT000771 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.