Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARL THOMAS DICKERSON, LPC
Deactivated Sole ProprietorDR. CARL THOMAS DICKERSON, LPC is a Professional Counselor healthcare provider located in CUMMING, Georgia. NPI 1215157045 is deactivated in the NPPES registry. Verify at CMS.
Professional Counselor · CUMMING, GA
This NPI has been deactivated.
The record was deactivated on August 6, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1215157045
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2007 (13.279452054795 yrs)
- Last Updated
- Apr 24, 2024
- Deactivated
- Aug 6, 2020
- Licenses
-
0323 (MS)LPC010077 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1595 PEACHTREE PKWY, STE 204, # 227CUMMING, GA, 300412040Browse GA providers · Browse ZIP 30041
- Phone
- 6784312070
- Fax
- 4702815711
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in CUMMING, GA
| Name | Credential | NPI |
|---|---|---|
| JULIE SHORTRIDGE | MA, LPC | 1609871631 |
| MR. TIM J ALFREY | MA, LPC | 1811919798 |
| JODI LEIGH CARLTON | MED, LPC | 1396820387 |
| MRS. ALAINE BARKER GLOVER | LPC | 1548326127 |
| MS. KIMBERLY R. WATERS-ROSE | LPC | 1558427906 |
| MRS. KENDRA H. GILBERT | LPC | 1639293384 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.