Provider Demographics
NPI:1114501491
Name:FUTCH, VEATRICE PARKER (LCSW)
Entity Type:Individual
Prefix:
First Name:VEATRICE
Middle Name:PARKER
Last Name:FUTCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6737 BILL CARRUTH PKWY APT 6133
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-3784
Mailing Address - Country:US
Mailing Address - Phone:404-372-4989
Mailing Address - Fax:
Practice Address - Street 1:3764 KINGSBARNS DR
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-5488
Practice Address - Country:US
Practice Address - Phone:404-372-4989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical