Individual
SHANITHIA KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
105 BANKS STA # 1095, FAYETTEVILLE, GA 30214-7503
(404) 777-4604
Mailing address
105 BANKS STA # 1095, FAYETTEVILLE, GA 30214-7503
(404) 777-4604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
016232
GA
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
016232
GA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/16/2018
Last updated
02/04/2026
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