Katrina Everett

Individual provider Active NPI Mental Health Counselor · Fort Valley, GA

NPI 1154860708 · NPPES record last updated Feb 15, 2017

Key facts

NPI
1154860708
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
108 Mimosa Dr
Fort Valley, GA 31030-3717
Phone
(478) 825-9045
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Flint Area Community Service Board Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

108 Mimosa Dr
Fort Valley, GA 31030-3717

Mailing address

108 Mimosa Dr
Fort Valley, GA 31030-3717

Other providers in Fort Valley, GA

All providers in Fort Valley, GA · Mental Health Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.