Individual
KIMBERLY TAYLOR LIVSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1804 HOLLINGSWORTH BLVD NW, ATLANTA, GA 30318-4036
(404) 295-4224
Mailing address
1804 HOLLINGSWORTH BLVD NW, ATLANTA, GA 30318-4036
(404) 295-4224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005863
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106113A
—
GA
Enumeration date
02/22/2011
Last updated
06/02/2021
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