Provider Demographics
NPI:1457636151
Name:DEAN, TAMEKA DEANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TAMEKA
Middle Name:DEANN
Last Name:DEAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:TAMEKA
Other - Middle Name:DEANN
Other - Last Name:LEGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2525 IVEY CROSSING TRL
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-5673
Mailing Address - Country:US
Mailing Address - Phone:678-262-6248
Mailing Address - Fax:
Practice Address - Street 1:3405 SWEETWATER RD
Practice Address - Street 2:APT.541
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-2445
Practice Address - Country:US
Practice Address - Phone:678-262-6248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004924101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional