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Kelly E Redwine Lpc Llc
Adolescent and Children Mental Health Clinic/Center in Braselton, Georgia
NPI 1093304297

Kelly E Redwine Lpc Llc is an Adolescent and Children Mental Health Clinic/Center based in Braselton, GA and is specialized in Adolescent and Children Mental Health. Kelly E Redwine Lpc Llc practices in Braselton, GA. The NPI Number for Kelly E Redwine Lpc Llc is 1093304297 and holds a License No. (Georgia).

The current practice location address for Kelly E Redwine Lpc Llc is 300 Broadway Ave, Braselton, GA and can be reached out via phone at 770-695-7501.

Location: 300 Broadway Ave, Braselton, GA, 30517-0011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093304297
Provider Name
Kelly E Redwine Lpc Llc
Credential
Provider Entity Type
Organization
Address
300 Broadway Ave, Braselton, GA, 30517-0011
Phone Number
770-695-7501
Fax Number
Provider Enumeration Date
01/12/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
300 Broadway Ave
City
Braselton
State
Georgia
Zip
30517
Phone Number
770-695-7501
Fax Number
person
Provider Business Mailing Address Details
Address
300 Broadway Ave
City
Braselton
State
Georgia
Zip
30517
Phone Number
770-695-7501
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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