Individual provider · Type 1 NPI

Taivia Nicosi Thompson

Mental Health Counselor · Marietta, GA

NPI number 1235740622 Active

Practice location

1640 Powers Ferry Rd SE
Marietta, GA 30067-5491

Mailing address

1822 Panola Rd
Lithonia, GA 30058-5518

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1235740622

Taivia Nicosi Thompson's National Provider Identifier is 1235740622, issued on Aug 11, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marietta, GA. The record was last updated on Aug 11, 2020.