Marcell Gardner Spates, LPC

NPI 1164243614 · on the registry since 2024 · sole proprietor

Practice

Address: 1431 Riverside Pkwy Ste A
Lawrenceville, GA 30043
Phone: (678) 765-9291
Organisation at this address: Prohealth Integrated Medical
Advantage Health & Rehab Llc
Georgia Psychological Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia