| Doctor Name: | TINA FELICE FERG |
| NPI Number: | 1265889513 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAPC, NCC |
| License Number: | APC004683 |
| Business Practice Address: | 555 Sun Valley Dr Suite P-4 Roswell, GA - 300765612 |
| Business Phone Number: | 6783811687 |
| Business Fax Number: | 6783818020 |
| Mailing Address: | 551 Crooked Tree Dr, DAWSONVILLE |
| State: | GA |
| Postal Code: | 305343605 |
| Phone Number: | 6786229250 |
| Fax Number: | 7062653513 |
| NPI Enumeration Date: | 05/17/2016 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | APC004683 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |