Whalio Doctors

NPI 1063972057

Tracie Herold LCSW, LLC

Organisation Clinical Social Worker Decatur, GA

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
Behavioral Health & Social Service Providers Taxonomy 1041C0700X

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.