Provider Demographics
NPI:1417226929
Name:SCHETTINI, KELLY LUANNE (MS, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:LUANNE
Last Name:SCHETTINI
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Gender:F
Credentials:MS, NCC, LPC
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Mailing Address - Street 1:170 BASTILLE WAY, SUITE C
Mailing Address - Street 2:GINGER RIDGE BEHAVIORAL HEALTH SERVICES, LLC
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214
Mailing Address - Country:US
Mailing Address - Phone:770-461-7010
Mailing Address - Fax:770-461-7100
Practice Address - Street 1:170 BASTILLE WAY, SUITE C
Practice Address - Street 2:GINGER RIDGE BEHAVIORAL HEALTH SERVICES, LLC
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214
Practice Address - Country:US
Practice Address - Phone:770-461-7010
Practice Address - Fax:770-461-7100
Is Sole Proprietor?:No
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
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Provider Licenses
StateLicense IDTaxonomies
GALPC005211101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health