Provider Demographics
NPI:1437617107
Name:OSENI, KAFILAT O (LPC)
Entity Type:Individual
Prefix:MS
First Name:KAFILAT
Middle Name:O
Last Name:OSENI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 BUFORD HWY NE STE 540
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30329-2143
Mailing Address - Country:US
Mailing Address - Phone:404-279-0102
Mailing Address - Fax:
Practice Address - Street 1:2801 BUFORD HWY NE STE 540
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30329-2143
Practice Address - Country:US
Practice Address - Phone:404-279-0102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010045101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional