Individual
KIM LAND ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1511 JOHNSON FERRY RD STE 125, MARIETTA, GA 30062-6403
(770) 703-9031
(904) 337-0329
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
TPMC2681
FL
101YP2500X
Professional Counselor
Primary
LPC008144
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003170135A
—
GA
05
—
003170135C
—
GA
05
—
003170135F
—
GA
Enumeration date
11/05/2015
Last updated
10/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us