Individual
KELLY H HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6595 ROSWELL RD # G6308, ATLANTA, GA 30328-3152
(404) 599-7015
Mailing address
6595 ROSWELL RD # G6308, ATLANTA, GA 30328-3152
(404) 599-7015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007390
GA
101YM0800X
Mental Health Counselor
407
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12119524
CAQH APPLICATION #
NH
Enumeration date
04/02/2009
Last updated
08/05/2021
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