Provider Demographics
NPI:1841027414
Name:TOATLEY, CHARKESHIA (LPC)
Entity type:Individual
Prefix:
First Name:CHARKESHIA
Middle Name:
Last Name:TOATLEY
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 1:44 OBERLOCHEN WAY
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-7353
Mailing Address - Country:US
Mailing Address - Phone:678-524-1917
Mailing Address - Fax:
Practice Address - Street 1:44 OBERLOCHEN WAY
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-7353
Practice Address - Country:US
Practice Address - Phone:678-524-1917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC015134101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health