Traci Agnew is a Mental Health in Lawrenceville, Georgia. Traci Agnew practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Traci Agnew is 1114080025. The last update date is 2007-07-08.
Traci Agnew's current location address is 175 Gwinnett Dr, Lawrenceville, Georgia. You can contact this provider via phone number 7703395070 and fax number 6783773770. The mailing address for Traci Agnew is 175 Gwinnett Dr, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Traci Agnew |
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Address | 175 Gwinnett Dr, Lawrenceville, Georgia |
Phone Number | 7703395070 |
Fax Number | 6783773770 |
Sole Proprietor | N |
Credentials | MA, MHP |
NPI Number Detail
NPI Number | 1114080025 |
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Provider Enumeration Date | 2006-12-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 175 Gwinnett Dr |
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City | Lawrenceville |
State | Georgia (GA) |
Post Code | 300458444 |
Phone Number | 7703395070 |
Fax Number | 6783773770 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code issued to Traci Agnew by the Centers for Medicare & Medicaid Services?
The Traci Agnew has been assigned the NPI (National Provider Identifier) 1114080025 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Traci Agnew located?
The Traci Agnew is located at 175 Gwinnett Dr, Lawrenceville, GA 300458444.
What is Traci Agnew's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Traci Agnew is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114080025 to Traci Agnew?
The Centers for Medicare & Medicaid Services assigned the 1114080025 to Traci Agnew on 2006-12-19.
As of what date were the details related to Traci Agnew most recently updated or revised?
The information pertaining to Traci Agnew, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.