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Miya Kennedy-white, LPC
Mental Health Counselor in Baxley, Georgia
NPI 1104383413

Miya Kennedy-white is a Mental Health Counselor based in Baxley, GA and is specialized in Mental Health. Miya Kennedy-white practices in Baxley, GA and has the professional credentials of LPC. The NPI Number for Miya Kennedy-white is 1104383413 and holds a License No. LPC010366 (Georgia).

The current practice location address for Miya Kennedy-white is 437 W Parker St, Baxley, GA and can be reached out via phone at 912-705-0858.

Location: 437 W Parker St, Baxley, GA, 31513-0605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104383413
Provider Name
Miya Kennedy-white
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
437 W Parker St, Baxley, GA, 31513-0605
Phone Number
912-705-0858
Fax Number
Provider Enumeration Date
02/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
437 W Parker St
City
Baxley
State
Georgia
Zip
31513-0605
Phone Number
912-705-0858
Fax Number
person
Provider Business Mailing Address Details
Address
437 W Parker St
City
Baxley
State
Georgia
Zip
31513-0605
Phone Number
912-705-0858
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC010366 (Georgia)
Definition
Definition to come...
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