| Doctor Name: | MR. HERSCHEL LEE ABBOTT |
| NPI Number: | 1568786135 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, NCC, M.ED |
| License Number: | 2577 |
| Business Practice Address: | 14 Brown St Suite 5 Newnan, GA - 302632031 |
| Business Phone Number: | 6788760424 |
| Business Fax Number: | |
| Mailing Address: | 171 Lake Cove Approach, NEWNAN |
| State: | GA |
| Postal Code: | 302655932 |
| Phone Number: | 6788760424 |
| Fax Number: | |
| NPI Enumeration Date: | 03/25/2010 |
| NPI Last Update Date: | 03/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 2577 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| 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 |