Enricka Victoria Maddox, LPC - Counselor in Conyers, GA

Enricka Victoria Maddox, LPC is a Counselor - Professional based in Conyers, Georgia. Enricka Victoria Maddox is licensed to practice in Georgia (license number LPC008094) and her current practice location is 1500 Klondike Rd Sw Ste A103, Conyers, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 609-1936.

NPI number for Enricka Victoria Maddox is 1073281804 and her current mailing address is 45 Tabor Trce, Oxford, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073281804.

Contact Information

Enricka Victoria Maddox, LPC
1500 Klondike Rd Sw Ste A103,
Conyers, GA 30094-5115
(770) 609-1936
Not Available

Healthcare Provider's Profile

Full NameEnricka Victoria Maddox
GenderFemale
SpecialityCounselor - Professional
Location1500 Klondike Rd Sw Ste A103, Conyers, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073281804
  • Provider Enumeration Date: 09/07/2021
  • Last Update Date: 09/07/2021

Medical Identifiers

Medical identifiers for Enricka Victoria Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073281804NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional LPC008094 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Enricka Victoria Maddox is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Enricka Victoria Maddox, LPC
45 Tabor Trce,
Oxford, GA 30054-4049

Ph: (404) 453-3680
Enricka Victoria Maddox, LPC
1500 Klondike Rd Sw Ste A103,
Conyers, GA 30094-5115

Ph: (770) 609-1936

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› Verified 9 days ago


Counselor in Conyers, GA

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Michelle M. Billups,
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Practice Location: 3204 Quincey Xing, Conyers, GA 30013
Phone: 404-803-1127    
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Practice Location: 1175 Green St, Conyers, Conyers, GA 30012
Phone: 256-970-8503    

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