Provider Demographics
NPI:1083375000
Name:TARZIERS, KYNDEL (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:KYNDEL
Middle Name:
Last Name:TARZIERS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:KYNDEL
Other - Middle Name:
Other - Last Name:LOVELACE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1625 BRAEBURN DR SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-2164
Mailing Address - Country:US
Mailing Address - Phone:251-490-9127
Mailing Address - Fax:
Practice Address - Street 1:1328 PEACHTREE ST NE STE B317
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3209
Practice Address - Country:US
Practice Address - Phone:251-202-3994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-02
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013321101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty