Donna M Kelley, LPC
Individual provider Active NPI Professional Counselor · Avondale Estates, GA
NPI 1164548400 · NPPES record last updated Feb 10, 2009
Key facts
- NPI
- 1164548400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC004484 (GA)
- Practice address
- 14 Chelsea CT
Avondale Estates, GA 30002-1538 - Phone
- (404) 966-8054
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC004484 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC004484 | GA | Yes |
Addresses
Primary practice location
14 Chelsea CT
Avondale Estates, GA 30002-1538
Mailing address
14 Chelsea CT
Avondale Estates, GA 30002-1538
Phone (404) 966-8054
Other providers in Avondale Estates, GA
- Elizabeth Anne Gregory
- Alaa Hammond
- Philip Joshua Haun
- Stefanie Elizabeth Hays
- Catherine L Johnson
- Janice Koiki
- Martha Thomas Land
- Danielle Larkin
- Elizabeth Connors Leonard
- Living in the Light Wellness
All providers in Avondale Estates, GA · Professional 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 Feb 10, 2009. 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.