Wilson, Kenyatta

Wilson, Kenyatta is an individual health care provider with primary practice located at 500 Old Bremen Rd Suite 101, Carrollton GA 30117-5216. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wilson, Kenyatta can be contacted via phone (770) 820-3070.

Contact Information

Primary practice address
500 Old Bremen Rd Suite 101 Carrollton GA 30117-5216
Phone: (770) 820-3070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC007401 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC007401 Georgia

Profile Details

NPI number 1275710667
LBN Legal business name Wilson, Kenyatta
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Dec 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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