Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. EBONY NICOLE DERRICKSON, MS DDP
Active Sole ProprietorMS. EBONY NICOLE DERRICKSON, MS DDP is a Mental Health Counselor healthcare provider located in LOGANVILLE, Georgia. NPI 1881336907 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · LOGANVILLE, GA
Registration Details
- NPI Number
- 1881336907
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2022 (4.3271471633838 yrs)
- Last Updated
- Apr 9, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 LEE BYRD RDLOGANVILLE, GA, 300522310Browse GA providers · Browse ZIP 30052
- Phone
- 6788838609
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Counseling Psychologist
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in LOGANVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY HARRELL LITTRELL | APRN | 1376600288 |
| LAUREN WILLIAMS | MS, LPC, LCPC | 1952675118 |
| MR. ALEXANDER AMU | LCPC, CCMHC | 1528312576 |
| STACY W FROELICH | LCSW | 1033539093 |
| MISS ELIZABETH JOHNSON | RN | 1396135596 |
| THOMI HOOTON | — | 1548626013 |
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.