Provider Demographics
NPI:1528438850
Name:KING, TAMEKA SHANTA (LPC)
Entity type:Individual
Prefix:
First Name:TAMEKA
Middle Name:SHANTA
Last Name:KING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6160 RIVEROAK TER
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-4078
Mailing Address - Country:US
Mailing Address - Phone:678-637-7853
Mailing Address - Fax:
Practice Address - Street 1:3424 PEACHTREE RD NE STE 2200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1156
Practice Address - Country:US
Practice Address - Phone:404-436-2563
Practice Address - Fax:866-277-9071
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC004657101YP2500X
GALPC015366101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional