Keyontia Markeya White

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007822 Issued in GA

Practice address

1025 Veterans Memorial Hwy SE Ste 660
Mableton, GA 30126-7711

Phone

(404) 980-9330

Fax

(470) 704-4413

NPI assigned

Dec 11, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inspiring Life Changes, LLC

  • Professional Counselor
  • Mableton, GA
  • NPI 1225715493
  NPD Authorized official
• Envisions of Life LLC

  • Case Management Agency
  • Greensboro, NC
  • NPI 1881788818

  Mental Health

  NPD (past)
• Envisions of Life, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Goldsboro, NC
  • NPI 1972700763
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1134550577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 VETERANS MEMORIAL HWY SE STE 660",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267711",
            "telephone_number": "404-980-9330",
            "fax_number": "470-704-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 VETERANS MEMORIAL HWY SE STE 660",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267711",
            "telephone_number": "404-980-9330",
            "fax_number": "470-704-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KEYONTIA",
        "middle_name": "MARKEYA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naylecia Monique Watkins
• Matthew Javed Watson, PHARMD
• We Care of Mableton Inc.
• When I Was a Child Corp
• Deidre White, LMFT
• Tia White
• Katherine Wiley, RD, LD
• Christy Williams
• Trinity N Williams
• Wonderfully Made Health & Fitness Solutions

• Professional Counselor in Mableton, GA
• Providers in Mableton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.