Kelly Rebecca Petaccio MS LPC CPCS

  • NPI 1669751160
According to our database, the NPI number for Kelly Rebecca Petaccio MS LPC CPCS is 1669751160 and activated since 12 years ago. Kelly Rebecca Petaccio MS LPC CPCS is an individual provider who specializes in Mental Health, and the primary practice location is 130 Governors Sq Ste B, Peachtree City, GA 30269. You can also contact Kelly Rebecca Petaccio MS LPC CPCS via telephone number is (770) 519-2743. Provider NPI information was last updated on 01/27/2020.

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Overview of Kelly Rebecca Petaccio MS LPC CPCS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/15/2011
  • Last updated: 01/27/2020

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: LPC008109
  • License State: GA

Provider Mailing Address

  • Address: 130 Governors Sq Ste B
    Peachtree City, GA 30269
  • Phone: 770-519-2743
  • Fax:

Provider Practice Location

  • Address: 130 Governors Sq Ste B
    Peachtree City, GA 30269
  • Phone: 770-519-2743
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: LPC008109
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1457876906
  • Identifier Type: Other
  • Identifier State: GA
  • Issuer: THE CENTER FOR LIVING BALANCE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kelly Rebecca Petaccio MS LPC CPCS?
  • A: The npi number for Kelly Rebecca Petaccio MS LPC CPCS is 1669751160.
  • Q: What are Kelly Rebecca Petaccio MS LPC CPCS's specialties?
  • A: Kelly Rebecca Petaccio MS LPC CPCS's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Kelly Rebecca Petaccio MS LPC CPCS?
  • A: The medical license number for Kelly Rebecca Petaccio MS LPC CPCS is LPC008109 and issued in GA in USA.
  • Q: Where is Kelly Rebecca Petaccio MS LPC CPCS practice location?
  • A: Kelly Rebecca Petaccio MS LPC CPCS is practicing at 130 Governors Sq Ste B, Peachtree City, GA 30269.
  • Q: How to contact Kelly Rebecca Petaccio MS LPC CPCS?
  • A: You can contact Kelly Rebecca Petaccio MS LPC CPCS via 770-519-2743.