Keisha L White
Professional Counselor
500 Lanier Ave W Ste 103b
Fayetteville
, Georgia 30214-7640
Keisha L White
Professional Counselor
500 Lanier Ave W Ste 103b
Fayetteville
, Georgia 30214-7640
(404) 914-8005
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Keisha L White
- 6873 Slate Stone Way Se
- Mableton, GA
- Zip : 30126-5433
- Phone : (404) 914-8005
Second Address
- Keisha L White
- 500 Lanier Ave W Ste 103b
- Fayetteville, GA
- Zip : 30214-7640
- Phone : (404) 800-4002
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | APC007240 | GA |
National Provider Identifier
| NPI | 1003433558 |
|---|---|
| Provider Name | Keisha L White |
| First Address | Mableton, GA 30126-5433 |
| Second Address | Fayetteville, GA 30214-7640 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2020 |
| Last Update Date | 01/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.