KHALILIAH KENDRA SMITH NPI 1760123657

NPI Information

  • NPI: 1760123657
  • Provider Name: KHALILIAH KENDRA SMITH
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1005 MILSTEAD AVE NE STE 103
    CONYERS, GA
    ZIP 30012
  • Phone: (770) 860-8549

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NPI Details

Khaliliah Kendra Smith is a professional counselor in Conyers, GA. Khaliliah Kendra Smith NPI is 1760123657. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1005 MILSTEAD AVE NE STE 103
CONYERS, GA
ZIP 30012-509
Phone: (770) 860-8549
Fax: (866) 210-1269

The enumeration date for this NPI number is 4/5/2022 and was last updated on 4/5/2022.

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
1101YP2500XCounselorProfessional12841GEORGIAYes

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

NPI Synchronization or Removal

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