DR. PETERSON ALCIDE NPI 1477153955

NPI Information

  • NPI: 1477153955
  • Provider Name: DR. PETERSON ALCIDE
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 166 ANDERSON ST SE STE 225
    MARIETTA, GA
    ZIP 30060
  • Phone: (203) 501-6553

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NPI Details

DR. Peterson Alcide is a counselor in Marietta, GA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. DR. Peterson Alcide NPI is 1477153955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

166 ANDERSON ST SE STE 225
MARIETTA, GA
ZIP 30060-984
Phone: (203) 501-6553

The enumeration date for this NPI number is 10/26/2020 and was last updated on 6/21/2022.

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
1246Y00000XSpecialist/Technologist, Health InformationNo
2246QL0900XSpecialist/Technologist, PathologyLaboratory ManagementNo
32472E0500XTechnician, OtherEEGNo
4101Y00000XCounselorGEORGIAYes
5101YM0800XCounselorMental HealthGEORGIANo
6132700000XDietary ManagerGEORGIANo
7225C00000XRehabilitation CounselorGEORGIANo

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
11609415132MEDICAIDGEORGIA
21477153955MEDICAIDGEORGIA

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: 11/21/2025

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