RACHELLE KENNEDY LPC NPI 1740676253

NPI Information

NPI: 1740676253
Provider Name: RACHELLE KENNEDY, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
67 PEACHTREE PARK DR NE
SUITE 102
ATLANTA, GA
ZIP 30309
Phone: (470) 298-6589
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Rachelle Kennedy, LPC is a professional counselor in Atlanta, GA. Rachelle Kennedy, LPC NPI is 1740676253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

67 PEACHTREE PARK DR NE
SUITE 102
ATLANTA, GA
ZIP 30309-370
Phone: (470) 298-6589

The enumeration date for this NPI number is 4/10/2015 and was last updated on 11/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		LPC006216	GEORGIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LPC006216	GEORGIA	No
3	106H00000X	Marriage & Family Therapist		LPC006216	GEORGIA	No
4	101YM0800X	Counselor	Mental Health	LPC006216	GEORGIA	No
5	101YP2500X	Counselor	Professional	LPC006216	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	471070696	OTHER	GEORGIA	TIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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