Provider Demographics
NPI:1235611724
Name:KNOTT, KATHERINE WINSTEAD (MS, LAPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:WINSTEAD
Last Name:KNOTT
Suffix:
Gender:F
Credentials:MS, LAPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3460 SUMMIT RIDGE PARKWAY
Mailing Address - Street 2:SUITE 503
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096
Mailing Address - Country:US
Mailing Address - Phone:770-325-0447
Mailing Address - Fax:
Practice Address - Street 1:3460 SUMMIT RIDGE PARKWAY
Practice Address - Street 2:SUITE 503
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096
Practice Address - Country:US
Practice Address - Phone:770-325-0447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC006284101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health