KELLIE MOORE LPC NPI 1932487303

NPI Information

NPI: 1932487303
Provider Name: KELLIE MOORE, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3670 HIGHLANDS PKWY SE
BUILDING 6
SMYRNA, GA
ZIP 30082
Phone: (404) 856-7600
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Kellie Moore, LPC is a professional counselor in Smyrna, GA. Kellie Moore, LPC NPI is 1932487303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3670 HIGHLANDS PKWY SE
BUILDING 6
SMYRNA, GA
ZIP 30082-184
Phone: (404) 856-7600
Fax: (404) 856-7601

The enumeration date for this NPI number is 8/2/2011 and was last updated on 8/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC006309	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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