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Mary Keller

Counselor Pastoral Counselor Professional Counselor Mental Health Counselor

1944 Brannan Rd
McDonough , Georgia 30253-4310

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Counselor
  • Mental Health Counselor
  • Pastoral Counselor
  • Professional Counselor

Languages spoken

  • English

Location

1944 Brannan Rd McDonough , Georgia 30253-4310

First Address

  • Mary Keller
  • 1944 Brannan Rd
  • Mcdonough, GA
  • Zip : 30253-4310
  • Phone : (678) 289-6981

Second Address

  • Mary Keller
  • 1944 Brannan Rd
  • Mcdonough, GA
  • Zip : 30253-4310
  • Phone : (678) 289-6981

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FAQs


Where did Mary Keller attend graduate school?

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Where did Mary Keller do her residency?

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Where did Mary Keller do her fellowship?

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Is Mary Keller board certified?

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What type of doctor is Mary Keller

Counselor

In what state does Mary Keller practice in?

Georgia

Where is Mary Keller ’s practice located?

1944 Brannan Rd , McDonough, Georgia, 30253-4310

What is Mary Keller ’s gender?

Female

Is Mary Keller a sole practitioner?

No

Is Mary Keller accepting new patients?

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What languages does Mary Keller speak?

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Does Mary Keller accept insurance?

Yes, Mary Keller accepts insurance

Does Mary Keller offers telemedicine?

Mary Keller has not indicated if she offers telemedicine

What is Mary Keller ’s professional license number?

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What is Mary Keller ’s NPI number?

1245622752

Does Mary Keller have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 101Y00000X Counselor LPC008089 GA
N 101YM0800X Mental Health Counselor LPC008089 GA
N 101YP1600X Pastoral Counselor LPC008089 GA
N 101YP2500X Professional Counselor LPC008089 GA

National Provider Identifier

NPI 1245622752
Provider Name Mary Keller
First Address Mcdonough, GA 30253-4310
Second Address Mcdonough, GA 30253-4310
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 21/02/2015
Last Update Date 21/02/2015

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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