Individual
MS. KEISHA NICHOLE HOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAMFT, LMFT, LPC
Contact information
Practice address
385 COUNTRY CLUB DR, SUITE E, STOCKBRIDGE, GA 30281-7351
(678) 671-9908
Mailing address
167 WORTHINGTON WAY, LAKE SPIVEY, GA 30236-5588
(678) 671-9908
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC007995
GA
106H00000X
Marriage & Family Therapist
Primary
MFT001380
GA
Other
Enumeration date
12/04/2014
Last updated
11/02/2015
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