KELLY WALTERS LPC NPI 1386361384

NPI Information

  • NPI: 1386361384
  • Provider Name: KELLY WALTERS, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 664 TOWNGATE BLVD
    JONESBORO, GA
    ZIP 30238
  • Phone: (404) 988-2509

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NPI Details

Kelly Walters, LPC is a mental health counselor in Jonesboro, GA. Kelly Walters, LPC NPI is 1386361384. 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:

664 TOWNGATE BLVD
JONESBORO, GA
ZIP 30238-850
Phone: (404) 988-2509

The enumeration date for this NPI number is 10/21/2022 and was last updated on 10/21/2022.

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 HealthLPC012557GEORGIAYes

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: 3/30/2025

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