Provider Demographics
NPI:1033484779
Name:KERLEY, SUSAN ELIZABETH (MS, LAPC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:ELIZABETH
Last Name:KERLEY
Suffix:
Gender:F
Credentials:MS, LAPC
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Mailing Address - Street 1:2440 SANDY PLAINS RD
Mailing Address - Street 2:BUILDING 13, SUITE 300
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-7217
Mailing Address - Country:US
Mailing Address - Phone:770-971-9311
Mailing Address - Fax:678-623-8243
Practice Address - Street 1:2440 SANDY PLAINS RD
Practice Address - Street 2:BUILDING 13, SUITE 300
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-7217
Practice Address - Country:US
Practice Address - Phone:770-971-9311
Practice Address - Fax:678-623-8243
Is Sole Proprietor?:No
Enumeration Date:2012-03-13
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALPC008298101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health