Kristen Machele Burroughs, M.ED; LCMHC
Individual provider Active NPI Mental Health Counselor · Powder Springs, GA
NPI 1023844263 · NPPES record last updated Sep 13, 2024
Key facts
- NPI
- 1023844263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 14398 (NC)
- Practice address
- 1308 Silverbrooke Xing
Powder Springs, GA 30127-6073 - Phone
- (478) 319-9098
- NPI assigned
- Sep 13, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14398 | NC | Yes |
Addresses
Primary practice location
1308 Silverbrooke Xing
Powder Springs, GA 30127-6073
Mailing address
1308 Silverbrooke Xing
Powder Springs, GA 30127-6073
Phone (478) 319-9098
Other providers in Powder Springs, GA
- Sarah Meyer Bullington
- Gifty Bunyan
- David K Buran
- Eugene Arthur Burch II
- Victoria C, Burns
- Yvette Burton
- Jacqueline Erickson Buss
- Suzanne Byers
- Chartia Byrdsong-Flowers
- Marcos Caceres
All providers in Powder Springs, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.