Provider Demographics
NPI:1578281648
Name:VEAL, MARY KATE (LAPC)
Entity Type:Individual
Prefix:
First Name:MARY KATE
Middle Name:
Last Name:VEAL
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3745 SPALDING PARK DR
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2633
Mailing Address - Country:US
Mailing Address - Phone:770-778-2344
Mailing Address - Fax:
Practice Address - Street 1:2801 BUFORD HWY NE STE T10
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30329-2142
Practice Address - Country:US
Practice Address - Phone:470-280-8150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health