MS. MARY THERESA ABRAHAM MS LPC NCC MAC CPCS NPI 1427124593

NPI Information

NPI: 1427124593
Provider Name: MS. MARY THERESA ABRAHAM, MS LPC NCC MAC CPCS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
707 WHITLOCK AVE SW
SUITE H-10
MARIETTA, GA
ZIP 30064
Phone: (770) 591-7518
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MS. Mary Theresa Abraham, MS LPC NCC MAC CPCS is a professional counselor in Marietta, GA. MS. Mary Theresa Abraham, MS LPC NCC MAC CPCS NPI is 1427124593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

707 WHITLOCK AVE SW
SUITE H-10
MARIETTA, GA
ZIP 30064-000
Phone: (770) 591-7518
Fax: (678) 498-2843

The enumeration date for this NPI number is 11/28/2006 and was last updated on 4/9/2024.

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	101YP2500X	Counselor	Professional	003709	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10063297	OTHER	GEORGIA	AMERIGROUP
2	5732533	OTHER	GEORGIA	AETNA
3	129577652A	MEDICAID	GEORGIA
4	726881000	OTHER	GEORGIA	MAGELLAN
5	582262349	OTHER	GEORGIA	HUMANA
6	10063295	OTHER	GEORGIA	AMERIGROUP
7	1427124593	OTHER	GEORGIA	BCBS

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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