Individual
KAYLA ELIZABETH IVORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APC, MS
Contact information
Practice address
205 BRANDYWINE BLVD UNIT A, FAYETTEVILLE, GA 30214-7651
(404) 539-8970
Mailing address
147 TERRANE RDG, PEACHTREE CTY, GA 30269-4015
(678) 457-0108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009380
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/15/2021
Last updated
12/11/2023
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