Provider Demographics
NPI:1811037203
Name:SEARCY, THOMAS E (MA)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:E
Last Name:SEARCY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2760 OLD MILL TRL
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-5609
Mailing Address - Country:US
Mailing Address - Phone:770-853-7668
Mailing Address - Fax:
Practice Address - Street 1:2760 OLD MILL TRL
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-5609
Practice Address - Country:US
Practice Address - Phone:770-853-7668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA00001990101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional