NPI 1063972057
Tracie Herold LCSW, LLC
Practice location
- Address
- 1240 Clairmont Rd STE 207, Decatur, GA 30030-1254
- Phone
- (678) 681-5111
- Mailing address
- 1547 Coolwater CT, Decatur, GA 30033-1809
Authorised official
- Name
- Tracie Herold
- Title
- Owner
- Phone
- (678) 681-5111
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1063972057
- Entity type
- Organization
- NPI issued
- 25 Mar 2019
- Record last updated
- 16 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.