Individual provider · Type 1 NPI

Richard John Thaxton Iii, MA, LPC

Mental Health Counselor · Acworth, GA

NPI number 1477068617 Active

Practice location

3459 Acworth Due West Rd NW
Acworth, GA 30101-5819

Mailing address

959 Fairlong Dr NW
Acworth, GA 30101-7894

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC011689 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1477068617

Richard John Thaxton Iii, MA, LPC's National Provider Identifier is 1477068617, issued on Dec 11, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Acworth, GA. The record was last updated on Jan 16, 2024.