Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Tucker, LPC

Individual provider Professional Counselor · NPI 1629315916

Kevin Tucker, LPC is a Professional Counselor in Stone Mountain, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5300 Memorial Dr Ste 216
Stone Mountain, GA 30083-3134
Phone: (678) 481-6375
Fax: (678) 348-7215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC007095 (GA)

Record details

NPI number1629315916
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 7, 2013
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address5300 Memorial Dr Ste 216, Stone Mountain, GA 30083-3134

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