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Organization

KIM L ROBERTS

Active
Other names
Fresh Air Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
KIM LAND ROBERTS LPC, CPCS (THERAPIST/COUNSELOR)
(770) 355-2381
Entity
Organization

Contact information

Practice address
1511 JOHNSON FERRY RD STE 125, MARIETTA, GA 30062-6403
(770) 703-9031
(404) 689-6679
Mailing address
1801 BALDWIN FARMS DR, MARIETTA, GA 30068-1555
(770) 355-2381

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC008144
GA
101YM0800X
Mental Health Counselor
LPC008144
GA
101YP2500X
Professional Counselor
Primary
LPC008144
GA
251S00000X
Community/Behavioral Health Agency
LPC008144
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003333570A
GA
05
1003066077
GA
Enumeration date
11/19/2014
Last updated
03/23/2026
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