Organization
BYRON KELLAM & ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON KELLAM LPC, CPCS (CEO/CLINICAL DIRECTOR)
(470) 213-3568
Entity
Organization
Contact information
Practice address
4751 BEST RD STE 400T, ATLANTA, GA 30337-5609
(470) 213-3568
(770) 577-2887
Mailing address
3292 THORNECREEK DR, DOUGLASVILLE, GA 30135-8124
(470) 213-3568
(770) 577-2887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679893259
—
GA
Enumeration date
12/23/2022
Last updated
12/23/2022
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