Tracie Herold Lcsw, LLC

NPI #1063972057 in Decatur, Georgia

Provider Information

NPI Number: 1063972057
Entity Type: Organization
Organization Name: Tracie Herold Lcsw, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 25, 2019
Last Updated: Jul 16, 2019

Practice Location

Address: 1240 CLAIRMONT RD STE 207
City: Decatur
State: Georgia
ZIP Code: 30030-1254
Phone: (678) 681-5111

Authorized Official

Name: TRACIE HEROLD, LCSW
Title: OWNER
Phone: (678) 681-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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