Individual provider · Type 1 NPI

Talitha Mazyck, MHP, LAPC

Professional Counselor · Conyers, GA

NPI number 1326100173 Active

Practice location

977 Taylor St SW # A
Conyers, GA 30012-5357

Mailing address

5568 Strathmoor Manor Cir
Lithonia, GA 30058-2624

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XAPC001480 (GA)

Professional Counselor: Definition to come...

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About NPI 1326100173

Talitha Mazyck, MHP, LAPC's National Provider Identifier is 1326100173, issued on Dec 15, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conyers, GA. The record was last updated on Jul 8, 2007.