Provider Demographics
NPI:1427316520
Name:VINCENT, CAMIE L (LPC, LMHC)
Entity type:Individual
Prefix:
First Name:CAMIE
Middle Name:L
Last Name:VINCENT
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:CAMIE
Other - Middle Name:
Other - Last Name:VINCENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LMHC, PA
Mailing Address - Street 1:225 CREEKSTONE RDG STE 28
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3744
Mailing Address - Country:US
Mailing Address - Phone:470-685-0003
Mailing Address - Fax:470-275-0000
Practice Address - Street 1:225 CREEKSTONE RDG STE 28
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-3744
Practice Address - Country:US
Practice Address - Phone:470-685-0003
Practice Address - Fax:470-275-0000
Is Sole Proprietor?:No
Enumeration Date:2012-04-26
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11016101YM0800X
GALPC009337101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health