LK Psych Health

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LK PSYCH HEALTH

Practice address

675 Seminole Ave NE Ste 307
Atlanta, GA 30307-3416

Phone

(678) 701-9559

Fax

(855) 611-1918

NPI assigned

Nov 4, 2013

Organization subpart

No

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

Authorized official

Name

Linda Kondilis, PHD

Title

Clinical Psychologist

Phone

(678) 701-9559

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1770912420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE STE 307",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073416",
            "telephone_number": "678-701-9559",
            "fax_number": "855-611-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE STE 307",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073416",
            "telephone_number": "678-701-9559",
            "fax_number": "855-611-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LK PSYCH HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "KONDILIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-701-9559",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livingwell Collaborative, LLC
• Jessica Hope Livsey, MD
• Kimberly Taylor Livsey, LPC
• Livvey HC LLC
• Jose Fernando Lizcano-Perez, M.D.
• Danielle Llanos, MD
• McKenzie Llapur
• Eloisa Llata, M.D.
• Elizabeth Maria Llewellyn, PA-C
• Alexandra Caridad Llovet

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.