Provider Demographics
NPI:1043745433
Name:GEIER, ALICE MARIE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:MARIE
Last Name:GEIER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:ALICE
Other - Middle Name:MARIE
Other - Last Name:GABRIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LAPC
Mailing Address - Street 1:780 MEMORIAL DR SE APT 651
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-1758
Mailing Address - Country:US
Mailing Address - Phone:470-465-0067
Mailing Address - Fax:
Practice Address - Street 1:780 MEMORIAL DR SE APT 651
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-1758
Practice Address - Country:US
Practice Address - Phone:470-465-0067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-24
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009363101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional