JEREMY HALLOCK NPI 1235809690

NPI Information

NPI: 1235809690
Provider Name: JEREMY HALLOCK
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2850 JOHNSON FERRY RD STE 200250
MARIETTA, GA
ZIP 30062
Phone: (678) 691-8130
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Jeremy Hallock is a mental health counselor in Marietta, GA. Jeremy Hallock NPI is 1235809690. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2850 JOHNSON FERRY RD STE 200250
MARIETTA, GA
ZIP 30062-684
Phone: (678) 691-8130

The enumeration date for this NPI number is 9/16/2021 and was last updated on 9/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	APC008004	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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