Provider Demographics
NPI:1568603165
Name:EMERSON, DEBBIE J (LPC)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:J
Last Name:EMERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4343 SHALLOWFORD RD
Mailing Address - Street 2:SUITE C2
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062
Mailing Address - Country:US
Mailing Address - Phone:404-512-1972
Mailing Address - Fax:770-993-9800
Practice Address - Street 1:4343 SHALLOWFORD RD
Practice Address - Street 2:SUITE C2
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062
Practice Address - Country:US
Practice Address - Phone:404-512-1972
Practice Address - Fax:770-993-9800
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005758101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional