Provider Demographics
NPI:1679383681
Name:PEET, ROCHELLE (LPC)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:PEET
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 1:210 DAHLONEGA ST STE 203
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2459
Mailing Address - Country:US
Mailing Address - Phone:470-582-0175
Mailing Address - Fax:
Practice Address - Street 1:210 DAHLONEGA ST STE 203
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2459
Practice Address - Country:US
Practice Address - Phone:470-582-0175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC015202101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health