Kia Marie Bammes, LPC
Individual provider Active NPI Professional Counselor · Dacula, GA
NPI 1578200069 · NPPES record last updated May 16, 2022
Key facts
- NPI
- 1578200069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC012905 (GA)
- Practice address
- 2776 Cove View CT
Dacula, GA 30019-4714 - Phone
- (470) 677-4147
- NPI assigned
- May 16, 2022
- 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 |
|---|---|---|---|
| LPC012905 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | LPC012905 | GA | Yes |
Addresses
Primary practice location
2776 Cove View CT
Dacula, GA 30019-4714
Mailing address
2776 Cove View CT
Dacula, GA 30019-4714
Phone (470) 677-4147
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://doxy.me/account/dashboard | Direct |
Other providers in Dacula, GA
- Amy E. Bailey
- Edward R Bailey
- Rhonda D Baker
- Kelly Jones Ball
- Samantha Ball
- Katie Bannister
- Yashimabet Baronian
- Olivia Barroso
- Dayton Claire Barth
- Megan Bartlett
All providers in Dacula, 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 May 16, 2022. 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.