| Doctor Name: | EMILY TUCKER |
| NPI Number: | 1013210681 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC NCC |
| License Number: | 2798 |
| Business Practice Address: | 300 Office Park Dr Suite 220 Mountain Brk, AL - 352232474 |
| Business Phone Number: | 2053708533 |
| Business Fax Number: | |
| Mailing Address: | 300 Office Park Dr, Suite 220 MOUNTAIN BRK |
| State: | AL |
| Postal Code: | 352232474 |
| Phone Number: | 2053708533 |
| Fax Number: | |
| NPI Enumeration Date: | 12/21/2010 |
| NPI Last Update Date: | 04/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2798 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |