Most Relevant Information
Provider Data
| NPI Number: | 1003433558 |
| Provider Name: | KEISHA L WHITE ED.S, NCC,LAPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | APC007240 |
Most Important Dates
| Enumeration Date: | 07/01/2020 |
| Last Updated: | 07/01/2020 |
Provider Practice Location
500 LANIER AVE W STE 103B
FAYETTEVILLE
GA
302147640
Practice Location Phone/Fax
| Phone: | 4048004002 |
| Fax: |
Provider Mailing Location
6873 SLATE STONE WAY SE
MABLETON
GA
301265433
Provider Mailing Phone/Fax
| Phone: | 4049148005 |
| Fax: |