MIYA KENNEDY-WHITE LPC NPI 1104383413

NPI Information

  • NPI: 1104383413
  • Provider Name: MIYA KENNEDY-WHITE, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 437 W PARKER ST
    BAXLEY, GA
    ZIP 31513
  • Phone: (912) 705-0858

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NPI Details

Miya Kennedy-white, LPC is a mental health counselor in Baxley, GA. Miya Kennedy-white, LPC NPI is 1104383413. 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:

437 W PARKER ST
BAXLEY, GA
ZIP 31513-605
Phone: (912) 705-0858

The enumeration date for this NPI number is 2/22/2019 and was last updated on 2/22/2019.

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
1101YM0800XCounselorMental HealthLPC010366GEORGIAYes

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: 11/21/2025

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