Kelley Nicole Pollard, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC012781 Issued in GA

Practice address

4751 Habersham Way SE
Conyers, GA 30094-4407

Phone

(140) 464-3745

NPI assigned

Mar 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kelley Nicole Pollard Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1831894757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 HABERSHAM WAY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944407",
            "telephone_number": "404-643-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 HABERSHAM WAY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944407",
            "telephone_number": "140-464-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "KELLEY",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC012781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "POLLARD",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• PM3 Outsourcing Solutions, LLC
• PM3 Outsourcing Solutions, LLC
• PMC Home Care LLC
• Poetic-Prose Management LLC
• Steven D Pollack, DDS
• Edileia Porcaro, DMD
• Charnika Porter
• Jaevia Porter
• Pos Inc
• Pos Inc Dba Atlanta Therapy Services

• Mental Health Counselor in Conyers, GA
• Providers in Conyers, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.