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Provider Information for 1174930010


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Mrs. ALEXCIA MASSEY LPC


Sex: Female

NPI: 1174930010
Last Updated: 2014-07-11
Certification Date:

Details

NameValue
NPI1174930010
Enumeration Date2014-07-11
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 4585 WINDALE DR
LAWRENCEVILLE, GA 30044-6862
United States

Phone: 770-656-9838 | Fax:
 
Primary Practice Address 4585 WINDALE DR
LAWRENCEVILLE, GA 30044-6862
United States

Phone: 770-656-9838 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalGA007808