Fresh Air Counseling

LBN: Kim L Roberts
Fresh Air Counseling is an health care organization with primary practice located at 1801 Baldwin Farms Dr , Marietta GA 30068-1555. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Kim L Roberts can be contacted via phone (770) 355-2381, or through Roberts, Kim Land via phone (770) 355-2381.

Contact Information

Primary practice address
1801 Baldwin Farms Dr Marietta GA 30068-1555
Phone: (770) 355-2381
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Kim Land LPC, CRC
Phone: (770) 355-2381

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LPC008144 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC008144 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC008144 Georgia
Agencies / Community/Behavioral Health 251S00000X LPC008144 Georgia

Profile Details

NPI number 1699172684
LBN Legal business name Kim L Roberts
DBA Doing business as Fresh Air Counseling
Authorized official Roberts, Kim Land LPC, CRC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2014
Last updated Aug 6th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699172684 NPPES
Georgia MEDICAID 1003066077

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