Provider Demographics
NPI:1578192191
Name:ARNOLD, VICTORIA MEGAN (MED, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MEGAN
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 DIVIDEND DR
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1949
Mailing Address - Country:US
Mailing Address - Phone:770-468-3326
Mailing Address - Fax:
Practice Address - Street 1:313 DIVIDEND DR
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1949
Practice Address - Country:US
Practice Address - Phone:770-468-3326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011520101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional