Provider Demographics
NPI:1629749825
Name:KAY, SHELDON URIAH (MS, APC, NCC)
Entity Type:Individual
Prefix:
First Name:SHELDON
Middle Name:URIAH
Last Name:KAY
Suffix:
Gender:M
Credentials:MS, APC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 ARDEN TRACE LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-6427
Mailing Address - Country:US
Mailing Address - Phone:404-519-7585
Mailing Address - Fax:
Practice Address - Street 1:1400 ARDEN TRACE LN
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-6427
Practice Address - Country:US
Practice Address - Phone:404-977-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC008079101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional